National Provider Identifier [NPI]: |
1053380931 |
Last Name Of The Provider |
POZNIAK |
First Name Of The Provider |
MYRON |
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 |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
53792 |
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 |
67 |
Number Of Services |
3204 |
Number Of Medicare Beneficiaries |
1089 |
Total Submitted Charge Amount |
574996.92 |
Total Medicare Allowed Amount |
77770.33 |
Total Medicare Payment Amount |
58969.89 |
Total Medicare Standardized Payment Amount |
61858.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1680 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
6468 |
Total Drug Medicare AllowedAmount |
322.9 |
Total Drug Medicare PaymentAmount |
229.13 |
Total Drug Medicare Standardized Payment Amount |
229.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1524 |
Number Of Medicare Beneficiaries With Medical Services |
1089 |
Total Medical Submitted Charge Amount |
568528.92 |
Total Medical Medicare Allowed Amount |
77447.43 |
Total Medical Medicare Payment Amount |
58740.76 |
Total Medical Medicare Standardized Payment Amount |
61629.39 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
338 |
Number Of Beneficiaries Age 65 to 74 |
450 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
581 |
Number Of Male Beneficiaries |
508 |
Number Of Non Hispanic White Beneficiaries |
977 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
766 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
323 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0986 |