| National Provider Identifier [NPI]: | 1942379342 |
| Last Name Of The Provider | MISKE |
| First Name Of The Provider | STEPHANIE |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7601 PIONEERS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LINCOLN |
| Zip Code Of The Provider | 68506 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 18245 |
| Number Of Medicare Beneficiaries | 6224 |
| Total Submitted Charge Amount | 1570201.1 |
| Total Medicare Allowed Amount | 377546.57 |
| Total Medicare Payment Amount | 297871.55 |
| Total Medicare Standardized Payment Amount | 323106.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 8458 |
| Number Of Medicare Beneficiaries With Drug Services | 124 |
| Total Drug Submitted ChargeAmount | 6271.1 |
| Total Drug Medicare AllowedAmount | 2892.25 |
| Total Drug Medicare PaymentAmount | 2231.15 |
| Total Drug Medicare Standardized Payment Amount | 2231.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 9787 |
| Number Of Medicare Beneficiaries With Medical Services | 6224 |
| Total Medical Submitted Charge Amount | 1563930 |
| Total Medical Medicare Allowed Amount | 374654.32 |
| Total Medical Medicare Payment Amount | 295640.4 |
| Total Medical Medicare Standardized Payment Amount | 320874.98 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 659 |
| Number Of Beneficiaries Age 65 to 74 | 2503 |
| Number Of Beneficiaries Age 75 to 84 | 1982 |
| Number Of Beneficiaries Age Greater 84 | 1080 |
| Number Of Female Beneficiaries | 4148 |
| Number Of Male Beneficiaries | 2076 |
| Number Of Non Hispanic White Beneficiaries | 5986 |
| Number Of Black or African American Beneficiaries | 46 |
| Number Of AsianPacific Islander Beneficiaries | 41 |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | 21 |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5174 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1050 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2195 |