| National Provider Identifier [NPI]: | 1407871163 |
| Last Name Of The Provider | EKSTROM |
| First Name Of The Provider | JON |
| Middle Initial Of The Provider | E |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1255 HILYARD STREET |
| Street Address 2 Of The Provider | |
| City Of The Provider | EUGENE |
| Zip Code Of The Provider | 97401 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 205 |
| Number Of Services | 16415 |
| Number Of Medicare Beneficiaries | 4545 |
| Total Submitted Charge Amount | 1543677.61 |
| Total Medicare Allowed Amount | 378281.84 |
| Total Medicare Payment Amount | 304525.67 |
| Total Medicare Standardized Payment Amount | 318187.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 6838 |
| Number Of Medicare Beneficiaries With Drug Services | 104 |
| Total Drug Submitted ChargeAmount | 23358 |
| Total Drug Medicare AllowedAmount | 2149.93 |
| Total Drug Medicare PaymentAmount | 1670.12 |
| Total Drug Medicare Standardized Payment Amount | 1670.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 198 |
| Number Of Medical Services | 9577 |
| Number Of Medicare Beneficiaries With Medical Services | 4545 |
| Total Medical Submitted Charge Amount | 1520319.61 |
| Total Medical Medicare Allowed Amount | 376131.91 |
| Total Medical Medicare Payment Amount | 302855.55 |
| Total Medical Medicare Standardized Payment Amount | 316517.15 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 790 |
| Number Of Beneficiaries Age 65 to 74 | 2044 |
| Number Of Beneficiaries Age 75 to 84 | 1186 |
| Number Of Beneficiaries Age Greater 84 | 525 |
| Number Of Female Beneficiaries | 3185 |
| Number Of Male Beneficiaries | 1360 |
| Number Of Non Hispanic White Beneficiaries | 4246 |
| Number Of Black or African American Beneficiaries | 31 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 83 |
| Number Of American Indian Alaska Native Beneficiaries | 85 |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3561 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 984 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 46 |
| Percent Of With Hypertension | 59 |
| Percent Of With Ischemic Heart Disease | 25 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.192 |