| National Provider Identifier [NPI]: | 1952382533 |
| Last Name Of The Provider | KUZMA |
| First Name Of The Provider | BENJAMIN |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5901 TECHNOLOGY CENTER DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | INDIANAPOLIS |
| Zip Code Of The Provider | 462786013 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 155 |
| Number Of Services | 11938 |
| Number Of Medicare Beneficiaries | 4529 |
| Total Submitted Charge Amount | 2257027.85 |
| Total Medicare Allowed Amount | 494933.28 |
| Total Medicare Payment Amount | 376940.01 |
| Total Medicare Standardized Payment Amount | 408634.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6078 |
| Number Of Medicare Beneficiaries With Drug Services | 298 |
| Total Drug Submitted ChargeAmount | 33414 |
| Total Drug Medicare AllowedAmount | 6898.68 |
| Total Drug Medicare PaymentAmount | 5356.98 |
| Total Drug Medicare Standardized Payment Amount | 5356.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 5860 |
| Number Of Medicare Beneficiaries With Medical Services | 4529 |
| Total Medical Submitted Charge Amount | 2223613.85 |
| Total Medical Medicare Allowed Amount | 488034.6 |
| Total Medical Medicare Payment Amount | 371583.03 |
| Total Medical Medicare Standardized Payment Amount | 403277.82 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 829 |
| Number Of Beneficiaries Age 65 to 74 | 1665 |
| Number Of Beneficiaries Age 75 to 84 | 1390 |
| Number Of Beneficiaries Age Greater 84 | 645 |
| Number Of Female Beneficiaries | 2757 |
| Number Of Male Beneficiaries | 1772 |
| Number Of Non Hispanic White Beneficiaries | 4120 |
| Number Of Black or African American Beneficiaries | 313 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3468 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1061 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.4055 |