| National Provider Identifier [NPI]: | 1053372649 |
| Last Name Of The Provider | MATTAR |
| First Name Of The Provider | BASSAM |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 818 N EMPORIA ST |
| Street Address 2 Of The Provider | SUITE 403 |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672143729 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Medical Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 214 |
| Number Of Services | 264506 |
| Number Of Medicare Beneficiaries | 1369 |
| Total Submitted Charge Amount | 11311434.6 |
| Total Medicare Allowed Amount | 5084490.77 |
| Total Medicare Payment Amount | 3969447.3 |
| Total Medicare Standardized Payment Amount | 4010515.97 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 95 |
| Number Of Drug Services | 240032 |
| Number Of Medicare Beneficiaries With Drug Services | 602 |
| Total Drug Submitted ChargeAmount | 8363304.6 |
| Total Drug Medicare AllowedAmount | 3822716.26 |
| Total Drug Medicare PaymentAmount | 2992580.36 |
| Total Drug Medicare Standardized Payment Amount | 2992580.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 119 |
| Number Of Medical Services | 24474 |
| Number Of Medicare Beneficiaries With Medical Services | 1369 |
| Total Medical Submitted Charge Amount | 2948130 |
| Total Medical Medicare Allowed Amount | 1261774.51 |
| Total Medical Medicare Payment Amount | 976866.94 |
| Total Medical Medicare Standardized Payment Amount | 1017935.61 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 171 |
| Number Of Beneficiaries Age 65 to 74 | 537 |
| Number Of Beneficiaries Age 75 to 84 | 489 |
| Number Of Beneficiaries Age Greater 84 | 172 |
| Number Of Female Beneficiaries | 793 |
| Number Of Male Beneficiaries | 576 |
| Number Of Non Hispanic White Beneficiaries | 1234 |
| Number Of Black or African American Beneficiaries | 67 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1205 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 164 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 49 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 30 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.9675 |