| National Provider Identifier [NPI]: | 1780876177 |
| Last Name Of The Provider | SPIRER |
| First Name Of The Provider | DAVID |
| 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 | 182 |
| Number Of Services | 6978 |
| Number Of Medicare Beneficiaries | 4655 |
| Total Submitted Charge Amount | 1702631.19 |
| Total Medicare Allowed Amount | 308573.32 |
| Total Medicare Payment Amount | 240530.17 |
| Total Medicare Standardized Payment Amount | 244154.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 335 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 2645.1 |
| Total Drug Medicare AllowedAmount | 542.85 |
| Total Drug Medicare PaymentAmount | 425.58 |
| Total Drug Medicare Standardized Payment Amount | 425.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 6643 |
| Number Of Medicare Beneficiaries With Medical Services | 4655 |
| Total Medical Submitted Charge Amount | 1699986.09 |
| Total Medical Medicare Allowed Amount | 308030.47 |
| Total Medical Medicare Payment Amount | 240104.59 |
| Total Medical Medicare Standardized Payment Amount | 243728.78 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1017 |
| Number Of Beneficiaries Age 65 to 74 | 1537 |
| Number Of Beneficiaries Age 75 to 84 | 1307 |
| Number Of Beneficiaries Age Greater 84 | 794 |
| Number Of Female Beneficiaries | 2750 |
| Number Of Male Beneficiaries | 1905 |
| Number Of Non Hispanic White Beneficiaries | 3926 |
| Number Of Black or African American Beneficiaries | 619 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 49 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3161 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1494 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.657 |