| National Provider Identifier [NPI]: | 1821009440 |
| Last Name Of The Provider | KAO |
| First Name Of The Provider | BOB |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3 ERIE COURT |
| Street Address 2 Of The Provider | WEST SUBURBAN HOSPITAL |
| City Of The Provider | OAK PARK |
| Zip Code Of The Provider | 603022519 |
| 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 | 199 |
| Number Of Services | 7620 |
| Number Of Medicare Beneficiaries | 4920 |
| Total Submitted Charge Amount | 2087539.3 |
| Total Medicare Allowed Amount | 285655.88 |
| Total Medicare Payment Amount | 215153.17 |
| Total Medicare Standardized Payment Amount | 213133.2 |
| 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 | 199 |
| Number Of Medical Services | 7620 |
| Number Of Medicare Beneficiaries With Medical Services | 4920 |
| Total Medical Submitted Charge Amount | 2087539.3 |
| Total Medical Medicare Allowed Amount | 285655.88 |
| Total Medical Medicare Payment Amount | 215153.17 |
| Total Medical Medicare Standardized Payment Amount | 213133.2 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 944 |
| Number Of Beneficiaries Age 65 to 74 | 1629 |
| Number Of Beneficiaries Age 75 to 84 | 1423 |
| Number Of Beneficiaries Age Greater 84 | 924 |
| Number Of Female Beneficiaries | 2948 |
| Number Of Male Beneficiaries | 1972 |
| Number Of Non Hispanic White Beneficiaries | 3463 |
| Number Of Black or African American Beneficiaries | 1123 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 263 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3455 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1465 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.9812 |