| National Provider Identifier [NPI]: | 1760487060 |
| Last Name Of The Provider | DZWONCZYK |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 746 JEFFERSON AVE |
| Street Address 2 Of The Provider | STE 305 |
| City Of The Provider | SCRANTON |
| Zip Code Of The Provider | 185101639 |
| 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 | 54 |
| Number Of Services | 6145 |
| Number Of Medicare Beneficiaries | 2598 |
| Total Submitted Charge Amount | 1501563.42 |
| Total Medicare Allowed Amount | 634693.05 |
| Total Medicare Payment Amount | 474398.73 |
| Total Medicare Standardized Payment Amount | 503132.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 564 |
| Number Of Medicare Beneficiaries With Drug Services | 141 |
| Total Drug Submitted ChargeAmount | 33840 |
| Total Drug Medicare AllowedAmount | 29861.14 |
| Total Drug Medicare PaymentAmount | 23410.98 |
| Total Drug Medicare Standardized Payment Amount | 23410.98 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 53 |
| Number Of Medical Services | 5581 |
| Number Of Medicare Beneficiaries With Medical Services | 2598 |
| Total Medical Submitted Charge Amount | 1467723.42 |
| Total Medical Medicare Allowed Amount | 604831.91 |
| Total Medical Medicare Payment Amount | 450987.75 |
| Total Medical Medicare Standardized Payment Amount | 479721.77 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 305 |
| Number Of Beneficiaries Age 65 to 74 | 959 |
| Number Of Beneficiaries Age 75 to 84 | 890 |
| Number Of Beneficiaries Age Greater 84 | 444 |
| Number Of Female Beneficiaries | 1395 |
| Number Of Male Beneficiaries | 1203 |
| Number Of Non Hispanic White Beneficiaries | 2513 |
| Number Of Black or African American Beneficiaries | 21 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2110 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 488 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5173 |