| National Provider Identifier [NPI]: | 1861429755 | 
| Last Name Of The Provider | KAPTURCZAK | 
| First Name Of The Provider | MATTHIAS | 
| Middle Initial Of The Provider | H | 
| Credentials Of The Provider | MD | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 8042 WURZBACH RD | 
| Street Address 2 Of The Provider | SUITE 500 | 
| City Of The Provider | SAN ANTONIO | 
| Zip Code Of The Provider | 782293818 | 
| State Code Of The Provider | TX | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Nephrology | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 61 | 
| Number Of Services | 2905 | 
| Number Of Medicare Beneficiaries | 484 | 
| Total Submitted Charge Amount | 323144 | 
| Total Medicare Allowed Amount | 155245.27 | 
| Total Medicare Payment Amount | 119251.01 | 
| Total Medicare Standardized Payment Amount | 126206.68 | 
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 | 
| Number Of Drug Services | 234 | 
| Number Of Medicare Beneficiaries With Drug Services | 13 | 
| Total Drug Submitted ChargeAmount | 5256 | 
| Total Drug Medicare AllowedAmount | 2741.47 | 
| Total Drug Medicare PaymentAmount | 1985.74 | 
| Total Drug Medicare Standardized Payment Amount | 1985.74 | 
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 | 
| Number Of Medical Services | 2671 | 
| Number Of Medicare Beneficiaries With Medical Services | 484 | 
| Total Medical Submitted Charge Amount | 317888 | 
| Total Medical Medicare Allowed Amount | 152503.8 | 
| Total Medical Medicare Payment Amount | 117265.27 | 
| Total Medical Medicare Standardized Payment Amount | 124220.94 | 
| Average Age Of Beneficiaries | 58 | 
| Number Of Beneficiaries Age Less65 | 293 | 
| Number Of Beneficiaries Age 65 to 74 | 122 | 
| Number Of Beneficiaries Age 75 to 84 | 56 | 
| Number Of Beneficiaries Age Greater 84 | 13 | 
| Number Of Female Beneficiaries | 215 | 
| Number Of Male Beneficiaries | 269 | 
| Number Of Non Hispanic White Beneficiaries | 193 | 
| Number Of Black or African American Beneficiaries | 49 | 
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 228 | 
| Number Of American Indian Alaska Native Beneficiaries | 0 | 
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 338 | 
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 146 | 
| Percent Of With Atrial Fibrillation | 11 | 
| Percent Of With Alzheimers Disease or Dementia | 11 | 
| Percent Of With Asthma | 7 | 
| Percent Of With Cancer | 5 | 
| Percent Of With Heart Failure | 40 | 
| Percent Of With Chronic Kidney Disease | 75 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 | 
| Percent Of With Depression | 26 | 
| Percent Of With Diabetes | 62 | 
| Percent Of With Hyperlipidemia | 61 | 
| Percent Of With Hypertension | 75 | 
| Percent Of With Ischemic Heart Disease | 50 | 
| Percent Of With Osteoporosis | 6 | 
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 24 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 | 
| Percent Of With Stroke | 6 | 
| Average HCC Risk Score Of Beneficiaries | 4.6415 |