National Provider Identifier [NPI]: |
1467798454 |
Last Name Of The Provider |
MATTEI |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6015 POINTE WEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342095525 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
4849 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
473869.03 |
Total Medicare Allowed Amount |
148972.85 |
Total Medicare Payment Amount |
114067.57 |
Total Medicare Standardized Payment Amount |
121994.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2681 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
98085.8 |
Total Drug Medicare AllowedAmount |
34189.14 |
Total Drug Medicare PaymentAmount |
26795.06 |
Total Drug Medicare Standardized Payment Amount |
26795.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
2168 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
375783.23 |
Total Medical Medicare Allowed Amount |
114783.71 |
Total Medical Medicare Payment Amount |
87272.51 |
Total Medical Medicare Standardized Payment Amount |
95199.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
223 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.517 |