| National Provider Identifier [NPI]: | 1508864786 |
| Last Name Of The Provider | HAMMER |
| First Name Of The Provider | GLENN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1948 1ST AVE NE |
| Street Address 2 Of The Provider | |
| City Of The Provider | CEDAR RAPIDS |
| Zip Code Of The Provider | 524025321 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 170 |
| Number Of Services | 7718 |
| Number Of Medicare Beneficiaries | 5360 |
| Total Submitted Charge Amount | 762990.91 |
| Total Medicare Allowed Amount | 219413.69 |
| Total Medicare Payment Amount | 166713.77 |
| Total Medicare Standardized Payment Amount | 178823.59 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 866 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 1325 |
| Total Drug Medicare AllowedAmount | 558.18 |
| Total Drug Medicare PaymentAmount | 350.54 |
| Total Drug Medicare Standardized Payment Amount | 350.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 6852 |
| Number Of Medicare Beneficiaries With Medical Services | 5360 |
| Total Medical Submitted Charge Amount | 761665.91 |
| Total Medical Medicare Allowed Amount | 218855.51 |
| Total Medical Medicare Payment Amount | 166363.23 |
| Total Medical Medicare Standardized Payment Amount | 178473.05 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 798 |
| Number Of Beneficiaries Age 65 to 74 | 1881 |
| Number Of Beneficiaries Age 75 to 84 | 1649 |
| Number Of Beneficiaries Age Greater 84 | 1032 |
| Number Of Female Beneficiaries | 3334 |
| Number Of Male Beneficiaries | 2026 |
| Number Of Non Hispanic White Beneficiaries | 5183 |
| Number Of Black or African American Beneficiaries | 72 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 33 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4213 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1147 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3452 |