| National Provider Identifier [NPI]: | 1982774469 |
| Last Name Of The Provider | MIZZI |
| First Name Of The Provider | ANDREW |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 28050 GRAND RIVER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | FARMINGTON HILLS |
| Zip Code Of The Provider | 483365919 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 194 |
| Number Of Services | 9765 |
| Number Of Medicare Beneficiaries | 3134 |
| Total Submitted Charge Amount | 650801 |
| Total Medicare Allowed Amount | 253626.02 |
| Total Medicare Payment Amount | 207093.87 |
| Total Medicare Standardized Payment Amount | 203045.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 3600 |
| Number Of Medicare Beneficiaries With Drug Services | 34 |
| Total Drug Submitted ChargeAmount | 3600 |
| Total Drug Medicare AllowedAmount | 671.6 |
| Total Drug Medicare PaymentAmount | 526.51 |
| Total Drug Medicare Standardized Payment Amount | 526.51 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 193 |
| Number Of Medical Services | 6165 |
| Number Of Medicare Beneficiaries With Medical Services | 3134 |
| Total Medical Submitted Charge Amount | 647201 |
| Total Medical Medicare Allowed Amount | 252954.42 |
| Total Medical Medicare Payment Amount | 206567.36 |
| Total Medical Medicare Standardized Payment Amount | 202519.34 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 732 |
| Number Of Beneficiaries Age 65 to 74 | 1168 |
| Number Of Beneficiaries Age 75 to 84 | 777 |
| Number Of Beneficiaries Age Greater 84 | 457 |
| Number Of Female Beneficiaries | 2252 |
| Number Of Male Beneficiaries | 882 |
| Number Of Non Hispanic White Beneficiaries | 1750 |
| Number Of Black or African American Beneficiaries | 1280 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2116 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1018 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9602 |