| National Provider Identifier [NPI]: | 1033116074 |
| Last Name Of The Provider | WELCH |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2115 N KANSAS AVE |
| Street Address 2 Of The Provider | STE 104 |
| City Of The Provider | HASTINGS |
| Zip Code Of The Provider | 689012615 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 33 |
| Number Of Services | 35331 |
| Number Of Medicare Beneficiaries | 2357 |
| Total Submitted Charge Amount | 17461818.83 |
| Total Medicare Allowed Amount | 11890393.56 |
| Total Medicare Payment Amount | 9202526.67 |
| Total Medicare Standardized Payment Amount | 9305353.3 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 11534 |
| Number Of Medicare Beneficiaries With Drug Services | 809 |
| Total Drug Submitted ChargeAmount | 12846300 |
| Total Drug Medicare AllowedAmount | 10020020.19 |
| Total Drug Medicare PaymentAmount | 7841627.26 |
| Total Drug Medicare Standardized Payment Amount | 7841627.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 28 |
| Number Of Medical Services | 23797 |
| Number Of Medicare Beneficiaries With Medical Services | 2357 |
| Total Medical Submitted Charge Amount | 4615518.83 |
| Total Medical Medicare Allowed Amount | 1870373.37 |
| Total Medical Medicare Payment Amount | 1360899.41 |
| Total Medical Medicare Standardized Payment Amount | 1463726.04 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 110 |
| Number Of Beneficiaries Age 65 to 74 | 590 |
| Number Of Beneficiaries Age 75 to 84 | 817 |
| Number Of Beneficiaries Age Greater 84 | 840 |
| Number Of Female Beneficiaries | 1413 |
| Number Of Male Beneficiaries | 944 |
| Number Of Non Hispanic White Beneficiaries | 2285 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 43 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2076 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 281 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 44 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.3967 |