| National Provider Identifier [NPI]: | 1235391616 |
| Last Name Of The Provider | AMBERKER |
| First Name Of The Provider | JAYANT |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3050 MONTVALE DR STE A |
| Street Address 2 Of The Provider | |
| City Of The Provider | SPRINGFIELD |
| Zip Code Of The Provider | 627046924 |
| 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 | 170 |
| Number Of Services | 5030 |
| Number Of Medicare Beneficiaries | 3315 |
| Total Submitted Charge Amount | 998039.81 |
| Total Medicare Allowed Amount | 174805.42 |
| Total Medicare Payment Amount | 135727.05 |
| Total Medicare Standardized Payment Amount | 137301.33 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 329 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 1986.34 |
| Total Drug Medicare AllowedAmount | 363.95 |
| Total Drug Medicare PaymentAmount | 285.36 |
| Total Drug Medicare Standardized Payment Amount | 285.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 168 |
| Number Of Medical Services | 4701 |
| Number Of Medicare Beneficiaries With Medical Services | 3315 |
| Total Medical Submitted Charge Amount | 996053.47 |
| Total Medical Medicare Allowed Amount | 174441.47 |
| Total Medical Medicare Payment Amount | 135441.69 |
| Total Medical Medicare Standardized Payment Amount | 137015.97 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 682 |
| Number Of Beneficiaries Age 65 to 74 | 1129 |
| Number Of Beneficiaries Age 75 to 84 | 924 |
| Number Of Beneficiaries Age Greater 84 | 580 |
| Number Of Female Beneficiaries | 1934 |
| Number Of Male Beneficiaries | 1381 |
| Number Of Non Hispanic White Beneficiaries | 2723 |
| Number Of Black or African American Beneficiaries | 527 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 24 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2253 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1062 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7879 |