| National Provider Identifier [NPI]: | 1538191846 |
| Last Name Of The Provider | LISKA |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 37 EDGERTON DRIVE |
| Street Address 2 Of The Provider | STE 1 |
| City Of The Provider | NORTH FALMOUTH |
| Zip Code Of The Provider | 02556 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 111 |
| Number Of Services | 16390 |
| Number Of Medicare Beneficiaries | 4078 |
| Total Submitted Charge Amount | 2138184.03 |
| Total Medicare Allowed Amount | 1123273.23 |
| Total Medicare Payment Amount | 837154.02 |
| Total Medicare Standardized Payment Amount | 792475.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 74 |
| Number Of Medicare Beneficiaries With Drug Services | 46 |
| Total Drug Submitted ChargeAmount | 22200 |
| Total Drug Medicare AllowedAmount | 18276.96 |
| Total Drug Medicare PaymentAmount | 13717.1 |
| Total Drug Medicare Standardized Payment Amount | 13717.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 110 |
| Number Of Medical Services | 16316 |
| Number Of Medicare Beneficiaries With Medical Services | 4078 |
| Total Medical Submitted Charge Amount | 2115984.03 |
| Total Medical Medicare Allowed Amount | 1104996.27 |
| Total Medical Medicare Payment Amount | 823436.92 |
| Total Medical Medicare Standardized Payment Amount | 778758.37 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 80 |
| Number Of Beneficiaries Age 65 to 74 | 1701 |
| Number Of Beneficiaries Age 75 to 84 | 1649 |
| Number Of Beneficiaries Age Greater 84 | 648 |
| Number Of Female Beneficiaries | 2274 |
| Number Of Male Beneficiaries | 1804 |
| Number Of Non Hispanic White Beneficiaries | 3976 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 59 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3957 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 121 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 18 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9607 |