| National Provider Identifier [NPI]: | 1306051750 |
| Last Name Of The Provider | DOBZYNIAK |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5544 GREENWICH RD STE 200 |
| Street Address 2 Of The Provider | |
| City Of The Provider | VIRGINIA BEACH |
| Zip Code Of The Provider | 234626563 |
| 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 | 235 |
| Number Of Services | 7965 |
| Number Of Medicare Beneficiaries | 4267 |
| Total Submitted Charge Amount | 1190490.94 |
| Total Medicare Allowed Amount | 320443.7 |
| Total Medicare Payment Amount | 244731.6 |
| Total Medicare Standardized Payment Amount | 250677.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1573 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 5049 |
| Total Drug Medicare AllowedAmount | 873.61 |
| Total Drug Medicare PaymentAmount | 684.82 |
| Total Drug Medicare Standardized Payment Amount | 684.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 231 |
| Number Of Medical Services | 6392 |
| Number Of Medicare Beneficiaries With Medical Services | 4267 |
| Total Medical Submitted Charge Amount | 1185441.94 |
| Total Medical Medicare Allowed Amount | 319570.09 |
| Total Medical Medicare Payment Amount | 244046.78 |
| Total Medical Medicare Standardized Payment Amount | 249992.66 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 741 |
| Number Of Beneficiaries Age 65 to 74 | 1615 |
| Number Of Beneficiaries Age 75 to 84 | 1286 |
| Number Of Beneficiaries Age Greater 84 | 625 |
| Number Of Female Beneficiaries | 2372 |
| Number Of Male Beneficiaries | 1895 |
| Number Of Non Hispanic White Beneficiaries | 2766 |
| Number Of Black or African American Beneficiaries | 1288 |
| Number Of AsianPacific Islander Beneficiaries | 78 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 67 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3456 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 811 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9099 |