| National Provider Identifier [NPI]: | 1174595839 |
| Last Name Of The Provider | PRIZZIA |
| First Name Of The Provider | SUSAN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1508 WILLOW LAWN DR |
| Street Address 2 Of The Provider | STE 117 |
| City Of The Provider | RICHMOND |
| Zip Code Of The Provider | 232303421 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 160 |
| Number Of Services | 8463 |
| Number Of Medicare Beneficiaries | 5751 |
| Total Submitted Charge Amount | 563475 |
| Total Medicare Allowed Amount | 211558.56 |
| Total Medicare Payment Amount | 166842.78 |
| Total Medicare Standardized Payment Amount | 173811.73 |
| 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 | 160 |
| Number Of Medical Services | 8463 |
| Number Of Medicare Beneficiaries With Medical Services | 5751 |
| Total Medical Submitted Charge Amount | 563475 |
| Total Medical Medicare Allowed Amount | 211558.56 |
| Total Medical Medicare Payment Amount | 166842.78 |
| Total Medical Medicare Standardized Payment Amount | 173811.73 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 804 |
| Number Of Beneficiaries Age 65 to 74 | 2326 |
| Number Of Beneficiaries Age 75 to 84 | 1699 |
| Number Of Beneficiaries Age Greater 84 | 922 |
| Number Of Female Beneficiaries | 4091 |
| Number Of Male Beneficiaries | 1660 |
| Number Of Non Hispanic White Beneficiaries | 4089 |
| Number Of Black or African American Beneficiaries | 1504 |
| Number Of AsianPacific Islander Beneficiaries | 56 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4798 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 953 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4464 |