| National Provider Identifier [NPI]: | 1578772570 |
| Last Name Of The Provider | EMMANUEL |
| First Name Of The Provider | MILROY |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4955 N MILWAUKEE AVE |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 606302286 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 55 |
| Number Of Services | 17520 |
| Number Of Medicare Beneficiaries | 8938 |
| Total Submitted Charge Amount | 3177025 |
| Total Medicare Allowed Amount | 183861.58 |
| Total Medicare Payment Amount | 140062.69 |
| Total Medicare Standardized Payment Amount | 132082.51 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 55 |
| Number Of Medical Services | 17520 |
| Number Of Medicare Beneficiaries With Medical Services | 8938 |
| Total Medical Submitted Charge Amount | 3177025 |
| Total Medical Medicare Allowed Amount | 183861.58 |
| Total Medical Medicare Payment Amount | 140062.69 |
| Total Medical Medicare Standardized Payment Amount | 132082.51 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 1454 |
| Number Of Beneficiaries Age 65 to 74 | 1749 |
| Number Of Beneficiaries Age 75 to 84 | 2442 |
| Number Of Beneficiaries Age Greater 84 | 3293 |
| Number Of Female Beneficiaries | 5627 |
| Number Of Male Beneficiaries | 3311 |
| Number Of Non Hispanic White Beneficiaries | 6156 |
| Number Of Black or African American Beneficiaries | 1873 |
| Number Of AsianPacific Islander Beneficiaries | 255 |
| Number Of Hispanic Beneficiaries | 552 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 88 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3012 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 5926 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 64 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 58 |
| Percent Of With Chronic Kidney Disease | 53 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 41 |
| Percent Of With Depression | 56 |
| Percent Of With Diabetes | 54 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 62 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 31 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.9655 |