| National Provider Identifier [NPI]: | 1720242365 |
| Last Name Of The Provider | REZNIKOV |
| First Name Of The Provider | BORIS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5936 LIMESTONE RD |
| Street Address 2 Of The Provider | SUITE 301 |
| City Of The Provider | HOCKESSIN |
| Zip Code Of The Provider | 197078930 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 98 |
| Number Of Services | 5527 |
| Number Of Medicare Beneficiaries | 3762 |
| Total Submitted Charge Amount | 679744.99 |
| Total Medicare Allowed Amount | 235535.19 |
| Total Medicare Payment Amount | 180679.82 |
| Total Medicare Standardized Payment Amount | 182325.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 441 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 1487.2 |
| Total Drug Medicare AllowedAmount | 382.06 |
| Total Drug Medicare PaymentAmount | 299.55 |
| Total Drug Medicare Standardized Payment Amount | 299.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 96 |
| Number Of Medical Services | 5086 |
| Number Of Medicare Beneficiaries With Medical Services | 3756 |
| Total Medical Submitted Charge Amount | 678257.79 |
| Total Medical Medicare Allowed Amount | 235153.13 |
| Total Medical Medicare Payment Amount | 180380.27 |
| Total Medical Medicare Standardized Payment Amount | 182025.73 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 625 |
| Number Of Beneficiaries Age 65 to 74 | 1230 |
| Number Of Beneficiaries Age 75 to 84 | 1164 |
| Number Of Beneficiaries Age Greater 84 | 743 |
| Number Of Female Beneficiaries | 2190 |
| Number Of Male Beneficiaries | 1572 |
| Number Of Non Hispanic White Beneficiaries | 2890 |
| Number Of Black or African American Beneficiaries | 678 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 100 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2910 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 852 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 24 |
| Average HCC Risk Score Of Beneficiaries | 1.8247 |