| National Provider Identifier [NPI]: | 1639124589 |
| Last Name Of The Provider | WOZNEY |
| First Name Of The Provider | PAUL |
| 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 | 3430 TAMIAMI TRL |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | PORT CHARLOTTE |
| Zip Code Of The Provider | 339528127 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 162 |
| Number Of Services | 68218 |
| Number Of Medicare Beneficiaries | 4907 |
| Total Submitted Charge Amount | 2398443.44 |
| Total Medicare Allowed Amount | 1110851.5 |
| Total Medicare Payment Amount | 856127.05 |
| Total Medicare Standardized Payment Amount | 878865.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 61830 |
| Number Of Medicare Beneficiaries With Drug Services | 865 |
| Total Drug Submitted ChargeAmount | 31907.76 |
| Total Drug Medicare AllowedAmount | 16081.65 |
| Total Drug Medicare PaymentAmount | 12546.53 |
| Total Drug Medicare Standardized Payment Amount | 12546.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 156 |
| Number Of Medical Services | 6388 |
| Number Of Medicare Beneficiaries With Medical Services | 4904 |
| Total Medical Submitted Charge Amount | 2366535.68 |
| Total Medical Medicare Allowed Amount | 1094769.85 |
| Total Medical Medicare Payment Amount | 843580.52 |
| Total Medical Medicare Standardized Payment Amount | 866318.64 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 327 |
| Number Of Beneficiaries Age 65 to 74 | 2271 |
| Number Of Beneficiaries Age 75 to 84 | 1703 |
| Number Of Beneficiaries Age Greater 84 | 606 |
| Number Of Female Beneficiaries | 2968 |
| Number Of Male Beneficiaries | 1939 |
| Number Of Non Hispanic White Beneficiaries | 4580 |
| Number Of Black or African American Beneficiaries | 124 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 109 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 73 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4589 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 318 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.086 |