| National Provider Identifier [NPI]: | 1073599346 |
| Last Name Of The Provider | MATHIAS |
| First Name Of The Provider | ANDREA |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6040 PUBLIC LANDING RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SNOW HILL |
| Zip Code Of The Provider | 218632453 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 14 |
| Number Of Services | 1142 |
| Number Of Medicare Beneficiaries | 32 |
| Total Submitted Charge Amount | 3627.88 |
| Total Medicare Allowed Amount | 2915.91 |
| Total Medicare Payment Amount | 2199.09 |
| Total Medicare Standardized Payment Amount | 2205.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1086 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 1381.77 |
| Total Drug Medicare AllowedAmount | 1315.01 |
| Total Drug Medicare PaymentAmount | 1218.86 |
| Total Drug Medicare Standardized Payment Amount | 1218.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 11 |
| Number Of Medical Services | 56 |
| Number Of Medicare Beneficiaries With Medical Services | 16 |
| Total Medical Submitted Charge Amount | 2246.11 |
| Total Medical Medicare Allowed Amount | 1600.9 |
| Total Medical Medicare Payment Amount | 980.23 |
| Total Medical Medicare Standardized Payment Amount | 986.17 |
| Average Age Of Beneficiaries | 55 |
| Number Of Beneficiaries Age Less65 | 18 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | 0 |
| Number Of Female Beneficiaries | 18 |
| Number Of Male Beneficiaries | 14 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| 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 | 17 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 15 |
| Percent Of With Atrial Fibrillation | 0 |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 0 |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | 47 |
| Percent Of With Diabetes | |
| Percent Of With Hyperlipidemia | 50 |
| Percent Of With Hypertension | 41 |
| Percent Of With Ischemic Heart Disease | |
| Percent Of With Osteoporosis | 0 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 0 |
| Average HCC Risk Score Of Beneficiaries | 0.7178 |