National Provider Identifier [NPI]: |
1952352031 |
Last Name Of The Provider |
BUCZYNA |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2925 W OKLAHOMA AVE |
Street Address 2 Of The Provider |
MILWAUKEE RADIOLOGISTS LTD |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
53215 |
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 |
191 |
Number Of Services |
10127 |
Number Of Medicare Beneficiaries |
5119 |
Total Submitted Charge Amount |
1744754 |
Total Medicare Allowed Amount |
282840.19 |
Total Medicare Payment Amount |
214685.91 |
Total Medicare Standardized Payment Amount |
219005.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
191 |
Number Of Medical Services |
10127 |
Number Of Medicare Beneficiaries With Medical Services |
5119 |
Total Medical Submitted Charge Amount |
1744754 |
Total Medical Medicare Allowed Amount |
282840.19 |
Total Medical Medicare Payment Amount |
214685.91 |
Total Medical Medicare Standardized Payment Amount |
219005.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
961 |
Number Of Beneficiaries Age 65 to 74 |
1873 |
Number Of Beneficiaries Age 75 to 84 |
1465 |
Number Of Beneficiaries Age Greater 84 |
820 |
Number Of Female Beneficiaries |
3038 |
Number Of Male Beneficiaries |
2081 |
Number Of Non Hispanic White Beneficiaries |
4520 |
Number Of Black or African American Beneficiaries |
435 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
3845 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1274 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5239 |