| National Provider Identifier [NPI]: | 1679518054 |
| Last Name Of The Provider | CHAMROVA |
| First Name Of The Provider | ZUZANA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7253 AMBASSADOR RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212442710 |
| 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 | 240 |
| Number Of Services | 13207 |
| Number Of Medicare Beneficiaries | 4329 |
| Total Submitted Charge Amount | 936162.7 |
| Total Medicare Allowed Amount | 277322.14 |
| Total Medicare Payment Amount | 210587.92 |
| Total Medicare Standardized Payment Amount | 201935.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 6556 |
| Number Of Medicare Beneficiaries With Drug Services | 63 |
| Total Drug Submitted ChargeAmount | 1507.88 |
| Total Drug Medicare AllowedAmount | 1184.58 |
| Total Drug Medicare PaymentAmount | 806.57 |
| Total Drug Medicare Standardized Payment Amount | 806.57 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 239 |
| Number Of Medical Services | 6651 |
| Number Of Medicare Beneficiaries With Medical Services | 4329 |
| Total Medical Submitted Charge Amount | 934654.82 |
| Total Medical Medicare Allowed Amount | 276137.56 |
| Total Medical Medicare Payment Amount | 209781.35 |
| Total Medical Medicare Standardized Payment Amount | 201128.49 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 600 |
| Number Of Beneficiaries Age 65 to 74 | 1453 |
| Number Of Beneficiaries Age 75 to 84 | 1343 |
| Number Of Beneficiaries Age Greater 84 | 933 |
| Number Of Female Beneficiaries | 2433 |
| Number Of Male Beneficiaries | 1896 |
| Number Of Non Hispanic White Beneficiaries | 3604 |
| Number Of Black or African American Beneficiaries | 579 |
| Number Of AsianPacific Islander Beneficiaries | 53 |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3642 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 687 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.9152 |