| National Provider Identifier [NPI]: | 1114949930 |
| Last Name Of The Provider | BLEICHER |
| First Name Of The Provider | JON |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 401 EAST GOLD COAST RD |
| Street Address 2 Of The Provider | STE 102 |
| City Of The Provider | PAPILLION |
| Zip Code Of The Provider | 680464782 |
| State Code Of The Provider | NE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 183 |
| Number Of Services | 7504 |
| Number Of Medicare Beneficiaries | 4437 |
| Total Submitted Charge Amount | 607853 |
| Total Medicare Allowed Amount | 198895.94 |
| Total Medicare Payment Amount | 153070.78 |
| Total Medicare Standardized Payment Amount | 163557.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 183 |
| Number Of Medical Services | 7504 |
| Number Of Medicare Beneficiaries With Medical Services | 4437 |
| Total Medical Submitted Charge Amount | 607853 |
| Total Medical Medicare Allowed Amount | 198895.94 |
| Total Medical Medicare Payment Amount | 153070.78 |
| Total Medical Medicare Standardized Payment Amount | 163557.55 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 522 |
| Number Of Beneficiaries Age 65 to 74 | 1596 |
| Number Of Beneficiaries Age 75 to 84 | 1445 |
| Number Of Beneficiaries Age Greater 84 | 874 |
| Number Of Female Beneficiaries | 2745 |
| Number Of Male Beneficiaries | 1692 |
| Number Of Non Hispanic White Beneficiaries | 4289 |
| Number Of Black or African American Beneficiaries | 47 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3634 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 803 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2233 |