| National Provider Identifier [NPI]: | 1447228937 |
| Last Name Of The Provider | TRZECIAK |
| First Name Of The Provider | VICTOR |
| 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 | 5334 MEADOW LANE CT |
| Street Address 2 Of The Provider | |
| City Of The Provider | SHEFFIELD VILLAGE |
| Zip Code Of The Provider | 440351469 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 327 |
| Number Of Services | 28577 |
| Number Of Medicare Beneficiaries | 642 |
| Total Submitted Charge Amount | 1546324 |
| Total Medicare Allowed Amount | 716885.07 |
| Total Medicare Payment Amount | 564051.85 |
| Total Medicare Standardized Payment Amount | 588297.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 22 |
| Number Of Drug Services | 13170 |
| Number Of Medicare Beneficiaries With Drug Services | 325 |
| Total Drug Submitted ChargeAmount | 241662 |
| Total Drug Medicare AllowedAmount | 113723.91 |
| Total Drug Medicare PaymentAmount | 89073.01 |
| Total Drug Medicare Standardized Payment Amount | 89073.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 305 |
| Number Of Medical Services | 15407 |
| Number Of Medicare Beneficiaries With Medical Services | 642 |
| Total Medical Submitted Charge Amount | 1304662 |
| Total Medical Medicare Allowed Amount | 603161.16 |
| Total Medical Medicare Payment Amount | 474978.84 |
| Total Medical Medicare Standardized Payment Amount | 499224.24 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 78 |
| Number Of Beneficiaries Age 65 to 74 | 286 |
| Number Of Beneficiaries Age 75 to 84 | 190 |
| Number Of Beneficiaries Age Greater 84 | 88 |
| Number Of Female Beneficiaries | 358 |
| Number Of Male Beneficiaries | 284 |
| Number Of Non Hispanic White Beneficiaries | 604 |
| Number Of Black or African American Beneficiaries | 17 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 588 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 54 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0757 |