| National Provider Identifier [NPI]: | 1467409383 |
| Last Name Of The Provider | NIELSEN |
| First Name Of The Provider | JARED |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D., M.S. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6200 WESTOWN PKWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | WEST DES MOINES |
| Zip Code Of The Provider | 502667705 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 55 |
| Number Of Services | 26994 |
| Number Of Medicare Beneficiaries | 1609 |
| Total Submitted Charge Amount | 13881782.6 |
| Total Medicare Allowed Amount | 8418351.12 |
| Total Medicare Payment Amount | 6532559.02 |
| Total Medicare Standardized Payment Amount | 6602498.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 13001 |
| Number Of Medicare Beneficiaries With Drug Services | 707 |
| Total Drug Submitted ChargeAmount | 9288242.6 |
| Total Drug Medicare AllowedAmount | 7203096.79 |
| Total Drug Medicare PaymentAmount | 5635021.78 |
| Total Drug Medicare Standardized Payment Amount | 5635021.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 45 |
| Number Of Medical Services | 13993 |
| Number Of Medicare Beneficiaries With Medical Services | 1609 |
| Total Medical Submitted Charge Amount | 4593540 |
| Total Medical Medicare Allowed Amount | 1215254.33 |
| Total Medical Medicare Payment Amount | 897537.24 |
| Total Medical Medicare Standardized Payment Amount | 967477.16 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 71 |
| Number Of Beneficiaries Age 65 to 74 | 412 |
| Number Of Beneficiaries Age 75 to 84 | 588 |
| Number Of Beneficiaries Age Greater 84 | 538 |
| Number Of Female Beneficiaries | 1014 |
| Number Of Male Beneficiaries | 595 |
| Number Of Non Hispanic White Beneficiaries | 1556 |
| Number Of Black or African American Beneficiaries | 15 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 15 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1420 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 189 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 3 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 32 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.3321 |