National Provider Identifier [NPI]: |
1619035573 |
Last Name Of The Provider |
MATHUR |
First Name Of The Provider |
ALOK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4000 OLNEY LAYTONSVILLE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLNEY |
Zip Code Of The Provider |
20832 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2316 |
Number Of Medicare Beneficiaries |
619 |
Total Submitted Charge Amount |
247140 |
Total Medicare Allowed Amount |
213704.83 |
Total Medicare Payment Amount |
156684.2 |
Total Medicare Standardized Payment Amount |
139510.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
4890 |
Total Drug Medicare AllowedAmount |
3808.61 |
Total Drug Medicare PaymentAmount |
3639.61 |
Total Drug Medicare Standardized Payment Amount |
3639.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2204 |
Number Of Medicare Beneficiaries With Medical Services |
619 |
Total Medical Submitted Charge Amount |
242250 |
Total Medical Medicare Allowed Amount |
209896.22 |
Total Medical Medicare Payment Amount |
153044.59 |
Total Medical Medicare Standardized Payment Amount |
135870.89 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
529 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
597 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9519 |