National Provider Identifier [NPI]: |
1922048743 |
Last Name Of The Provider |
BROZYNA |
First Name Of The Provider |
WITOLD |
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 |
1906 BELLEVIEW AVE SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROANOKE |
Zip Code Of The Provider |
240141838 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
42826 |
Number Of Medicare Beneficiaries |
2125 |
Total Submitted Charge Amount |
1769239.11 |
Total Medicare Allowed Amount |
1143534.51 |
Total Medicare Payment Amount |
867948.95 |
Total Medicare Standardized Payment Amount |
875206.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38727 |
Number Of Medicare Beneficiaries With Drug Services |
367 |
Total Drug Submitted ChargeAmount |
43552.5 |
Total Drug Medicare AllowedAmount |
8847.32 |
Total Drug Medicare PaymentAmount |
6745.61 |
Total Drug Medicare Standardized Payment Amount |
6745.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
178 |
Number Of Medical Services |
4099 |
Number Of Medicare Beneficiaries With Medical Services |
2124 |
Total Medical Submitted Charge Amount |
1725686.61 |
Total Medical Medicare Allowed Amount |
1134687.19 |
Total Medical Medicare Payment Amount |
861203.34 |
Total Medical Medicare Standardized Payment Amount |
868460.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
336 |
Number Of Beneficiaries Age 65 to 74 |
745 |
Number Of Beneficiaries Age 75 to 84 |
671 |
Number Of Beneficiaries Age Greater 84 |
373 |
Number Of Female Beneficiaries |
1213 |
Number Of Male Beneficiaries |
912 |
Number Of Non Hispanic White Beneficiaries |
1894 |
Number Of Black or African American Beneficiaries |
192 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
432 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8132 |