| National Provider Identifier [NPI]: | 1093772543 |
| Last Name Of The Provider | SEMIN |
| First Name Of The Provider | MICHELE |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7601 PIONEERS BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | LINCOLN |
| Zip Code Of The Provider | 685064675 |
| 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 | 198 |
| Number Of Services | 9496 |
| Number Of Medicare Beneficiaries | 4649 |
| Total Submitted Charge Amount | 991344.13 |
| Total Medicare Allowed Amount | 246052.87 |
| Total Medicare Payment Amount | 195128.11 |
| Total Medicare Standardized Payment Amount | 210509.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 2370 |
| Number Of Medicare Beneficiaries With Drug Services | 40 |
| Total Drug Submitted ChargeAmount | 1930.74 |
| Total Drug Medicare AllowedAmount | 874.13 |
| Total Drug Medicare PaymentAmount | 685.31 |
| Total Drug Medicare Standardized Payment Amount | 685.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 192 |
| Number Of Medical Services | 7126 |
| Number Of Medicare Beneficiaries With Medical Services | 4649 |
| Total Medical Submitted Charge Amount | 989413.39 |
| Total Medical Medicare Allowed Amount | 245178.74 |
| Total Medical Medicare Payment Amount | 194442.8 |
| Total Medical Medicare Standardized Payment Amount | 209824.55 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 524 |
| Number Of Beneficiaries Age 65 to 74 | 1780 |
| Number Of Beneficiaries Age 75 to 84 | 1478 |
| Number Of Beneficiaries Age Greater 84 | 867 |
| Number Of Female Beneficiaries | 3057 |
| Number Of Male Beneficiaries | 1592 |
| Number Of Non Hispanic White Beneficiaries | 4490 |
| Number Of Black or African American Beneficiaries | 32 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | 18 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3804 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 845 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2656 |