| National Provider Identifier [NPI]: | 1912979691 |
| Last Name Of The Provider | PRINTZ |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 DIAMOND HILL RD |
| Street Address 2 Of The Provider | SUMMIT MEDICAL GROUP |
| City Of The Provider | BERKELEY HEIGHTS |
| Zip Code Of The Provider | 079222104 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 147 |
| Number Of Services | 10530 |
| Number Of Medicare Beneficiaries | 3345 |
| Total Submitted Charge Amount | 1499915.5 |
| Total Medicare Allowed Amount | 388107.58 |
| Total Medicare Payment Amount | 291857.5 |
| Total Medicare Standardized Payment Amount | 257124.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5934 |
| Number Of Medicare Beneficiaries With Drug Services | 187 |
| Total Drug Submitted ChargeAmount | 12120.5 |
| Total Drug Medicare AllowedAmount | 2540.33 |
| Total Drug Medicare PaymentAmount | 1991.84 |
| Total Drug Medicare Standardized Payment Amount | 1991.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 145 |
| Number Of Medical Services | 4596 |
| Number Of Medicare Beneficiaries With Medical Services | 3345 |
| Total Medical Submitted Charge Amount | 1487795 |
| Total Medical Medicare Allowed Amount | 385567.25 |
| Total Medical Medicare Payment Amount | 289865.66 |
| Total Medical Medicare Standardized Payment Amount | 255132.76 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 260 |
| Number Of Beneficiaries Age 65 to 74 | 1287 |
| Number Of Beneficiaries Age 75 to 84 | 1075 |
| Number Of Beneficiaries Age Greater 84 | 723 |
| Number Of Female Beneficiaries | 2044 |
| Number Of Male Beneficiaries | 1301 |
| Number Of Non Hispanic White Beneficiaries | 2784 |
| Number Of Black or African American Beneficiaries | 282 |
| Number Of AsianPacific Islander Beneficiaries | 54 |
| Number Of Hispanic Beneficiaries | 172 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2995 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 350 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4584 |