| National Provider Identifier [NPI]: | 1902850829 |
| Last Name Of The Provider | DONOGHUE |
| First Name Of The Provider | JOANN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | DO |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 301 MADISON ST |
| Street Address 2 Of The Provider | SUITE 207 |
| City Of The Provider | JOLIET |
| Zip Code Of The Provider | 604356549 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 38 |
| Number Of Services | 9570 |
| Number Of Medicare Beneficiaries | 5516 |
| Total Submitted Charge Amount | 1155768 |
| Total Medicare Allowed Amount | 511792.46 |
| Total Medicare Payment Amount | 385849.06 |
| Total Medicare Standardized Payment Amount | 369393.46 |
| Drug Suppress Indicator | * |
| Number Of HCPCS Associated With Drug Services | |
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| Number Of Medicare Beneficiaries With Drug Services | |
| Total Drug Submitted ChargeAmount | |
| Total Drug Medicare AllowedAmount | |
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| Medical SuppressIndicator | # |
| Number Of HCPCS Associated With MedicalServices | |
| Number Of Medical Services | |
| Number Of Medicare Beneficiaries With Medical Services | |
| Total Medical Submitted Charge Amount | |
| Total Medical Medicare Allowed Amount | |
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| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 679 |
| Number Of Beneficiaries Age 65 to 74 | 1783 |
| Number Of Beneficiaries Age 75 to 84 | 1852 |
| Number Of Beneficiaries Age Greater 84 | 1202 |
| Number Of Female Beneficiaries | 3071 |
| Number Of Male Beneficiaries | 2445 |
| Number Of Non Hispanic White Beneficiaries | 4740 |
| Number Of Black or African American Beneficiaries | 470 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 241 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4525 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 991 |
| Percent Of With Atrial Fibrillation | 31 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.845 |