| National Provider Identifier [NPI]: | 1912911405 |
| Last Name Of The Provider | INDZONKA |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 505 INDEPENDENCE RD |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | EAST STROUDSBURG |
| Zip Code Of The Provider | 183017916 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 6469 |
| Number Of Medicare Beneficiaries | 2264 |
| Total Submitted Charge Amount | 1561783 |
| Total Medicare Allowed Amount | 429751.83 |
| Total Medicare Payment Amount | 324220.15 |
| Total Medicare Standardized Payment Amount | 318155.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 192 |
| Number Of Medicare Beneficiaries With Drug Services | 48 |
| Total Drug Submitted ChargeAmount | 19200 |
| Total Drug Medicare AllowedAmount | 10160.48 |
| Total Drug Medicare PaymentAmount | 7965.69 |
| Total Drug Medicare Standardized Payment Amount | 7965.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 6277 |
| Number Of Medicare Beneficiaries With Medical Services | 2264 |
| Total Medical Submitted Charge Amount | 1542583 |
| Total Medical Medicare Allowed Amount | 419591.35 |
| Total Medical Medicare Payment Amount | 316254.46 |
| Total Medical Medicare Standardized Payment Amount | 310189.89 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 400 |
| Number Of Beneficiaries Age 65 to 74 | 790 |
| Number Of Beneficiaries Age 75 to 84 | 703 |
| Number Of Beneficiaries Age Greater 84 | 371 |
| Number Of Female Beneficiaries | 1158 |
| Number Of Male Beneficiaries | 1106 |
| Number Of Non Hispanic White Beneficiaries | 1875 |
| Number Of Black or African American Beneficiaries | 182 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 163 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1730 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 534 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.812 |