| National Provider Identifier [NPI]: | 1811992563 |
| Last Name Of The Provider | HERSHEY |
| First Name Of The Provider | JONATHAN |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2600 N MAYFAIR RD |
| Street Address 2 Of The Provider | STE 901 |
| City Of The Provider | MILWAUKEE |
| Zip Code Of The Provider | 532261307 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 46 |
| Number Of Services | 20711 |
| Number Of Medicare Beneficiaries | 1407 |
| Total Submitted Charge Amount | 9052058.81 |
| Total Medicare Allowed Amount | 5552789.93 |
| Total Medicare Payment Amount | 4302346.75 |
| Total Medicare Standardized Payment Amount | 4341280.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 10802 |
| Number Of Medicare Beneficiaries With Drug Services | 761 |
| Total Drug Submitted ChargeAmount | 7420866 |
| Total Drug Medicare AllowedAmount | 4585901.52 |
| Total Drug Medicare PaymentAmount | 3588341.07 |
| Total Drug Medicare Standardized Payment Amount | 3588341.07 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 38 |
| Number Of Medical Services | 9909 |
| Number Of Medicare Beneficiaries With Medical Services | 1407 |
| Total Medical Submitted Charge Amount | 1631192.81 |
| Total Medical Medicare Allowed Amount | 966888.41 |
| Total Medical Medicare Payment Amount | 714005.68 |
| Total Medical Medicare Standardized Payment Amount | 752939.65 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 86 |
| Number Of Beneficiaries Age 65 to 74 | 382 |
| Number Of Beneficiaries Age 75 to 84 | 496 |
| Number Of Beneficiaries Age Greater 84 | 443 |
| Number Of Female Beneficiaries | 842 |
| Number Of Male Beneficiaries | 565 |
| Number Of Non Hispanic White Beneficiaries | 1278 |
| Number Of Black or African American Beneficiaries | 51 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 40 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1264 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 143 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.4392 |