| National Provider Identifier [NPI]: | 1972570323 |
| Last Name Of The Provider | NOWAK |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4477 MEDICAL CENTER WAY |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | WEST PALM BEACH |
| Zip Code Of The Provider | 334073286 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 7 |
| Number Of Services | 22932 |
| Number Of Medicare Beneficiaries | 8270 |
| Total Submitted Charge Amount | 2760059.54 |
| Total Medicare Allowed Amount | 1627327.08 |
| Total Medicare Payment Amount | 1211972.99 |
| Total Medicare Standardized Payment Amount | 839199.78 |
| 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 | 7 |
| Number Of Medical Services | 22932 |
| Number Of Medicare Beneficiaries With Medical Services | 8270 |
| Total Medical Submitted Charge Amount | 2760059.54 |
| Total Medical Medicare Allowed Amount | 1627327.08 |
| Total Medical Medicare Payment Amount | 1211972.99 |
| Total Medical Medicare Standardized Payment Amount | 839199.78 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 116 |
| Number Of Beneficiaries Age 65 to 74 | 3033 |
| Number Of Beneficiaries Age 75 to 84 | 3089 |
| Number Of Beneficiaries Age Greater 84 | 2032 |
| Number Of Female Beneficiaries | 3959 |
| Number Of Male Beneficiaries | 4311 |
| Number Of Non Hispanic White Beneficiaries | 8008 |
| Number Of Black or African American Beneficiaries | 35 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 96 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 120 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8189 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 81 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1108 |