| National Provider Identifier [NPI]: | 1386620730 |
| Last Name Of The Provider | WOJNO |
| First Name Of The Provider | KIRK |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 31157 WOODWARD AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROYAL OAK |
| Zip Code Of The Provider | 480730996 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 37 |
| Number Of Services | 26314 |
| Number Of Medicare Beneficiaries | 9553 |
| Total Submitted Charge Amount | 4007804 |
| Total Medicare Allowed Amount | 1761227.12 |
| Total Medicare Payment Amount | 1431290.2 |
| Total Medicare Standardized Payment Amount | 1423416.99 |
| 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 | 37 |
| Number Of Medical Services | 26314 |
| Number Of Medicare Beneficiaries With Medical Services | 9553 |
| Total Medical Submitted Charge Amount | 4007804 |
| Total Medical Medicare Allowed Amount | 1761227.12 |
| Total Medical Medicare Payment Amount | 1431290.2 |
| Total Medical Medicare Standardized Payment Amount | 1423416.99 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 863 |
| Number Of Beneficiaries Age 65 to 74 | 4047 |
| Number Of Beneficiaries Age 75 to 84 | 3241 |
| Number Of Beneficiaries Age Greater 84 | 1402 |
| Number Of Female Beneficiaries | 2619 |
| Number Of Male Beneficiaries | 6934 |
| Number Of Non Hispanic White Beneficiaries | 7963 |
| Number Of Black or African American Beneficiaries | 1124 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 131 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 206 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8475 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1078 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 28 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.3007 |