| National Provider Identifier [NPI]: | 1164468179 |
| Last Name Of The Provider | PUZSAR |
| First Name Of The Provider | BRIAN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6245 INKSTER RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | GARDEN CITY |
| Zip Code Of The Provider | 481354001 |
| 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 | 311 |
| Number Of Services | 8295 |
| Number Of Medicare Beneficiaries | 3756 |
| Total Submitted Charge Amount | 650076.55 |
| Total Medicare Allowed Amount | 262386.38 |
| Total Medicare Payment Amount | 200057.92 |
| Total Medicare Standardized Payment Amount | 195673.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2115 |
| Number Of Medicare Beneficiaries With Drug Services | 27 |
| Total Drug Submitted ChargeAmount | 522 |
| Total Drug Medicare AllowedAmount | 361.59 |
| Total Drug Medicare PaymentAmount | 283.47 |
| Total Drug Medicare Standardized Payment Amount | 283.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 310 |
| Number Of Medical Services | 6180 |
| Number Of Medicare Beneficiaries With Medical Services | 3756 |
| Total Medical Submitted Charge Amount | 649554.55 |
| Total Medical Medicare Allowed Amount | 262024.79 |
| Total Medical Medicare Payment Amount | 199774.45 |
| Total Medical Medicare Standardized Payment Amount | 195390.16 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 750 |
| Number Of Beneficiaries Age 65 to 74 | 1286 |
| Number Of Beneficiaries Age 75 to 84 | 1038 |
| Number Of Beneficiaries Age Greater 84 | 682 |
| Number Of Female Beneficiaries | 2418 |
| Number Of Male Beneficiaries | 1338 |
| Number Of Non Hispanic White Beneficiaries | 2416 |
| Number Of Black or African American Beneficiaries | 1218 |
| Number Of AsianPacific Islander Beneficiaries | 40 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2848 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 908 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9844 |