National Provider Identifier [NPI]: |
1568556314 |
Last Name Of The Provider |
MATHEWS |
First Name Of The Provider |
ABRAHAM |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6901 N 72ND ST |
Street Address 2 Of The Provider |
SUITE 2244 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681221709 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
119946 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
4444005 |
Total Medicare Allowed Amount |
1844314.12 |
Total Medicare Payment Amount |
1431004.94 |
Total Medicare Standardized Payment Amount |
1437529.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
114105 |
Number Of Medicare Beneficiaries With Drug Services |
287 |
Total Drug Submitted ChargeAmount |
3849339 |
Total Drug Medicare AllowedAmount |
1600420.7 |
Total Drug Medicare PaymentAmount |
1246924.02 |
Total Drug Medicare Standardized Payment Amount |
1246924.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5841 |
Number Of Medicare Beneficiaries With Medical Services |
928 |
Total Medical Submitted Charge Amount |
594666 |
Total Medical Medicare Allowed Amount |
243893.42 |
Total Medical Medicare Payment Amount |
184080.92 |
Total Medical Medicare Standardized Payment Amount |
190605.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
565 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
821 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
773 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8022 |