| National Provider Identifier [NPI]: | 1013980713 |
| Last Name Of The Provider | WITKOWSKI |
| First Name Of The Provider | EDMUND |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 836 SUNSET LAKE BLVD |
| Street Address 2 Of The Provider | BUILDING A SUITE 205 |
| City Of The Provider | VENICE |
| Zip Code Of The Provider | 342927554 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Orthopedic Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 159 |
| Number Of Services | 5103 |
| Number Of Medicare Beneficiaries | 887 |
| Total Submitted Charge Amount | 1196055.82 |
| Total Medicare Allowed Amount | 536353.23 |
| Total Medicare Payment Amount | 401995.63 |
| Total Medicare Standardized Payment Amount | 398256.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 917 |
| Number Of Medicare Beneficiaries With Drug Services | 384 |
| Total Drug Submitted ChargeAmount | 37955 |
| Total Drug Medicare AllowedAmount | 20133.4 |
| Total Drug Medicare PaymentAmount | 15681.59 |
| Total Drug Medicare Standardized Payment Amount | 15681.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 4186 |
| Number Of Medicare Beneficiaries With Medical Services | 887 |
| Total Medical Submitted Charge Amount | 1158100.82 |
| Total Medical Medicare Allowed Amount | 516219.83 |
| Total Medical Medicare Payment Amount | 386314.04 |
| Total Medical Medicare Standardized Payment Amount | 382574.93 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 57 |
| Number Of Beneficiaries Age 65 to 74 | 343 |
| Number Of Beneficiaries Age 75 to 84 | 279 |
| Number Of Beneficiaries Age Greater 84 | 208 |
| Number Of Female Beneficiaries | 567 |
| Number Of Male Beneficiaries | 320 |
| Number Of Non Hispanic White Beneficiaries | 854 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 820 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 67 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 74 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1868 |