| National Provider Identifier [NPI]: | 1578674248 |
| Last Name Of The Provider | MAZALEWSKI |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8745 N WICKHAM RD |
| Street Address 2 Of The Provider | VIERA HOSPITAL/RADIOLOGY DEPT |
| City Of The Provider | MELBOURNE |
| Zip Code Of The Provider | 329405997 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 179 |
| Number Of Services | 12674 |
| Number Of Medicare Beneficiaries | 4479 |
| Total Submitted Charge Amount | 681959.36 |
| Total Medicare Allowed Amount | 258139.56 |
| Total Medicare Payment Amount | 196044.53 |
| Total Medicare Standardized Payment Amount | 199613.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 5764 |
| Number Of Medicare Beneficiaries With Drug Services | 75 |
| Total Drug Submitted ChargeAmount | 7060 |
| Total Drug Medicare AllowedAmount | 1865.19 |
| Total Drug Medicare PaymentAmount | 1462.31 |
| Total Drug Medicare Standardized Payment Amount | 1462.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 6910 |
| Number Of Medicare Beneficiaries With Medical Services | 4478 |
| Total Medical Submitted Charge Amount | 674899.36 |
| Total Medical Medicare Allowed Amount | 256274.37 |
| Total Medical Medicare Payment Amount | 194582.22 |
| Total Medical Medicare Standardized Payment Amount | 198151.42 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 725 |
| Number Of Beneficiaries Age 65 to 74 | 1354 |
| Number Of Beneficiaries Age 75 to 84 | 1398 |
| Number Of Beneficiaries Age Greater 84 | 1002 |
| Number Of Female Beneficiaries | 2579 |
| Number Of Male Beneficiaries | 1900 |
| Number Of Non Hispanic White Beneficiaries | 3849 |
| Number Of Black or African American Beneficiaries | 342 |
| Number Of AsianPacific Islander Beneficiaries | 48 |
| Number Of Hispanic Beneficiaries | 196 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3504 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 975 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 26 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 17 |
| 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 | 1.9374 |