| National Provider Identifier [NPI]: | 1699953141 |
| Last Name Of The Provider | NIZZA |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 918 EASTERN SHORE DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218046410 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 251 |
| Number Of Services | 21882 |
| Number Of Medicare Beneficiaries | 6606 |
| Total Submitted Charge Amount | 1731259.15 |
| Total Medicare Allowed Amount | 646975.18 |
| Total Medicare Payment Amount | 499160.76 |
| Total Medicare Standardized Payment Amount | 494055.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 10659 |
| Number Of Medicare Beneficiaries With Drug Services | 164 |
| Total Drug Submitted ChargeAmount | 4844.65 |
| Total Drug Medicare AllowedAmount | 3028.89 |
| Total Drug Medicare PaymentAmount | 2374.59 |
| Total Drug Medicare Standardized Payment Amount | 2374.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 249 |
| Number Of Medical Services | 11223 |
| Number Of Medicare Beneficiaries With Medical Services | 6606 |
| Total Medical Submitted Charge Amount | 1726414.5 |
| Total Medical Medicare Allowed Amount | 643946.29 |
| Total Medical Medicare Payment Amount | 496786.17 |
| Total Medical Medicare Standardized Payment Amount | 491680.86 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1011 |
| Number Of Beneficiaries Age 65 to 74 | 2660 |
| Number Of Beneficiaries Age 75 to 84 | 2033 |
| Number Of Beneficiaries Age Greater 84 | 902 |
| Number Of Female Beneficiaries | 4026 |
| Number Of Male Beneficiaries | 2580 |
| Number Of Non Hispanic White Beneficiaries | 5386 |
| Number Of Black or African American Beneficiaries | 1080 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5132 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1474 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6429 |