| National Provider Identifier [NPI]: | 1093714453 |
| Last Name Of The Provider | CIESZKOWSKI |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1701 SOUTH BLVD E |
| Street Address 2 Of The Provider | #390 |
| City Of The Provider | ROCHESTER HILLS |
| Zip Code Of The Provider | 483076122 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 17 |
| Number Of Services | 11716 |
| Number Of Medicare Beneficiaries | 6678 |
| Total Submitted Charge Amount | 464263 |
| Total Medicare Allowed Amount | 138867.35 |
| Total Medicare Payment Amount | 100894.88 |
| Total Medicare Standardized Payment Amount | 98240.31 |
| 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 | 17 |
| Number Of Medical Services | 11716 |
| Number Of Medicare Beneficiaries With Medical Services | 6678 |
| Total Medical Submitted Charge Amount | 464263 |
| Total Medical Medicare Allowed Amount | 138867.35 |
| Total Medical Medicare Payment Amount | 100894.88 |
| Total Medical Medicare Standardized Payment Amount | 98240.31 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 765 |
| Number Of Beneficiaries Age 65 to 74 | 2076 |
| Number Of Beneficiaries Age 75 to 84 | 2183 |
| Number Of Beneficiaries Age Greater 84 | 1654 |
| Number Of Female Beneficiaries | 3844 |
| Number Of Male Beneficiaries | 2834 |
| Number Of Non Hispanic White Beneficiaries | 6062 |
| Number Of Black or African American Beneficiaries | 161 |
| Number Of AsianPacific Islander Beneficiaries | 173 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 192 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5349 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1329 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 66 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.888 |