| National Provider Identifier [NPI]: | 1376591503 |
| Last Name Of The Provider | SZCZESNIAK |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4235 SECOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | TOLEDO |
| Zip Code Of The Provider | 436234231 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 239 |
| Number Of Services | 106731 |
| Number Of Medicare Beneficiaries | 8106 |
| Total Submitted Charge Amount | 5265168.31 |
| Total Medicare Allowed Amount | 2045727.91 |
| Total Medicare Payment Amount | 1578580.65 |
| Total Medicare Standardized Payment Amount | 1679296.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 88721 |
| Number Of Medicare Beneficiaries With Drug Services | 1155 |
| Total Drug Submitted ChargeAmount | 116514.85 |
| Total Drug Medicare AllowedAmount | 30901.59 |
| Total Drug Medicare PaymentAmount | 23885.21 |
| Total Drug Medicare Standardized Payment Amount | 23885.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 234 |
| Number Of Medical Services | 18010 |
| Number Of Medicare Beneficiaries With Medical Services | 8104 |
| Total Medical Submitted Charge Amount | 5148653.46 |
| Total Medical Medicare Allowed Amount | 2014826.32 |
| Total Medical Medicare Payment Amount | 1554695.44 |
| Total Medical Medicare Standardized Payment Amount | 1655411.69 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1525 |
| Number Of Beneficiaries Age 65 to 74 | 3684 |
| Number Of Beneficiaries Age 75 to 84 | 2055 |
| Number Of Beneficiaries Age Greater 84 | 842 |
| Number Of Female Beneficiaries | 5003 |
| Number Of Male Beneficiaries | 3103 |
| Number Of Non Hispanic White Beneficiaries | 6881 |
| Number Of Black or African American Beneficiaries | 784 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 235 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 159 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6544 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1562 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2831 |