| National Provider Identifier [NPI]: | 1568479939 |
| Last Name Of The Provider | GREEN |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2 MEMORIAL DR |
| Street Address 2 Of The Provider | SUITE 220 |
| City Of The Provider | ALTON |
| Zip Code Of The Provider | 620026723 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 143 |
| Number Of Services | 18651 |
| Number Of Medicare Beneficiaries | 2191 |
| Total Submitted Charge Amount | 1126459 |
| Total Medicare Allowed Amount | 536101.85 |
| Total Medicare Payment Amount | 411495.27 |
| Total Medicare Standardized Payment Amount | 413945 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 5078 |
| Number Of Medicare Beneficiaries With Drug Services | 280 |
| Total Drug Submitted ChargeAmount | 130265 |
| Total Drug Medicare AllowedAmount | 86969.96 |
| Total Drug Medicare PaymentAmount | 70148.63 |
| Total Drug Medicare Standardized Payment Amount | 70148.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 130 |
| Number Of Medical Services | 13573 |
| Number Of Medicare Beneficiaries With Medical Services | 2191 |
| Total Medical Submitted Charge Amount | 996194 |
| Total Medical Medicare Allowed Amount | 449131.89 |
| Total Medical Medicare Payment Amount | 341346.64 |
| Total Medical Medicare Standardized Payment Amount | 343796.37 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 312 |
| Number Of Beneficiaries Age 65 to 74 | 805 |
| Number Of Beneficiaries Age 75 to 84 | 643 |
| Number Of Beneficiaries Age Greater 84 | 431 |
| Number Of Female Beneficiaries | 1317 |
| Number Of Male Beneficiaries | 874 |
| Number Of Non Hispanic White Beneficiaries | 2055 |
| Number Of Black or African American Beneficiaries | 110 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 11 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1784 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 407 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6529 |