| National Provider Identifier [NPI]: | 1902886807 |
| Last Name Of The Provider | KOZAREK |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 700 S PARK ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MADISON |
| Zip Code Of The Provider | 537151849 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 7257 |
| Number Of Medicare Beneficiaries | 3622 |
| Total Submitted Charge Amount | 1419930.22 |
| Total Medicare Allowed Amount | 180685.46 |
| Total Medicare Payment Amount | 141665.08 |
| Total Medicare Standardized Payment Amount | 147685.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1334 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 1573 |
| Total Drug Medicare AllowedAmount | 428.85 |
| Total Drug Medicare PaymentAmount | 336.21 |
| Total Drug Medicare Standardized Payment Amount | 336.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 5923 |
| Number Of Medicare Beneficiaries With Medical Services | 3622 |
| Total Medical Submitted Charge Amount | 1418357.22 |
| Total Medical Medicare Allowed Amount | 180256.61 |
| Total Medical Medicare Payment Amount | 141328.87 |
| Total Medical Medicare Standardized Payment Amount | 147349.47 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 584 |
| Number Of Beneficiaries Age 65 to 74 | 1405 |
| Number Of Beneficiaries Age 75 to 84 | 1041 |
| Number Of Beneficiaries Age Greater 84 | 592 |
| Number Of Female Beneficiaries | 2294 |
| Number Of Male Beneficiaries | 1328 |
| Number Of Non Hispanic White Beneficiaries | 3472 |
| Number Of Black or African American Beneficiaries | 36 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | 24 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2770 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 852 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 33 |
| 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 | 1.2619 |