| National Provider Identifier [NPI]: | 1841261245 |
| Last Name Of The Provider | MARCINCZYK |
| First Name Of The Provider | MICHAEL |
| 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 | 397 LITTLE NECK RD |
| Street Address 2 Of The Provider | STE 100 3300 SOUTH BLDG |
| City Of The Provider | VA BEACH |
| Zip Code Of The Provider | 23452 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Vascular Surgery |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 162 |
| Number Of Services | 16421 |
| Number Of Medicare Beneficiaries | 3146 |
| Total Submitted Charge Amount | 4117513 |
| Total Medicare Allowed Amount | 1431589.33 |
| Total Medicare Payment Amount | 1108603.98 |
| Total Medicare Standardized Payment Amount | 1133640.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 11284 |
| Number Of Medicare Beneficiaries With Drug Services | 163 |
| Total Drug Submitted ChargeAmount | 11680 |
| Total Drug Medicare AllowedAmount | 2328.3 |
| Total Drug Medicare PaymentAmount | 1825.3 |
| Total Drug Medicare Standardized Payment Amount | 1825.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 160 |
| Number Of Medical Services | 5137 |
| Number Of Medicare Beneficiaries With Medical Services | 3146 |
| Total Medical Submitted Charge Amount | 4105833 |
| Total Medical Medicare Allowed Amount | 1429261.03 |
| Total Medical Medicare Payment Amount | 1106778.68 |
| Total Medical Medicare Standardized Payment Amount | 1131814.81 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 560 |
| Number Of Beneficiaries Age 65 to 74 | 1135 |
| Number Of Beneficiaries Age 75 to 84 | 994 |
| Number Of Beneficiaries Age Greater 84 | 457 |
| Number Of Female Beneficiaries | 1728 |
| Number Of Male Beneficiaries | 1418 |
| Number Of Non Hispanic White Beneficiaries | 2033 |
| Number Of Black or African American Beneficiaries | 954 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 66 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2533 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 613 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 51 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 2.4216 |