| National Provider Identifier [NPI]: | 1629265632 |
| Last Name Of The Provider | MOSZKOWICZ |
| First Name Of The Provider | ARIE |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 22 SOUTH GREENE STREET |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 21201 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 217 |
| Number Of Services | 11109 |
| Number Of Medicare Beneficiaries | 4861 |
| Total Submitted Charge Amount | 1320853 |
| Total Medicare Allowed Amount | 309952.2 |
| Total Medicare Payment Amount | 241593.76 |
| Total Medicare Standardized Payment Amount | 253034.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 217 |
| Number Of Medical Services | 11109 |
| Number Of Medicare Beneficiaries With Medical Services | 4861 |
| Total Medical Submitted Charge Amount | 1320853 |
| Total Medical Medicare Allowed Amount | 309952.2 |
| Total Medical Medicare Payment Amount | 241593.76 |
| Total Medical Medicare Standardized Payment Amount | 253034.39 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 925 |
| Number Of Beneficiaries Age 65 to 74 | 1818 |
| Number Of Beneficiaries Age 75 to 84 | 1417 |
| Number Of Beneficiaries Age Greater 84 | 701 |
| Number Of Female Beneficiaries | 2937 |
| Number Of Male Beneficiaries | 1924 |
| Number Of Non Hispanic White Beneficiaries | 4032 |
| Number Of Black or African American Beneficiaries | 588 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 201 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | 18 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3436 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1425 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6226 |