| National Provider Identifier [NPI]: | 1780669242 |
| Last Name Of The Provider | MATTERN |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1317 N ELM ST |
| Street Address 2 Of The Provider | SUITE 1B |
| City Of The Provider | GREENSBORO |
| Zip Code Of The Provider | 274011023 |
| State Code Of The Provider | NC |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 153 |
| Number Of Services | 9030 |
| Number Of Medicare Beneficiaries | 2410 |
| Total Submitted Charge Amount | 1098233.04 |
| Total Medicare Allowed Amount | 252415.91 |
| Total Medicare Payment Amount | 193081.82 |
| Total Medicare Standardized Payment Amount | 206567.29 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 5665 |
| Number Of Medicare Beneficiaries With Drug Services | 242 |
| Total Drug Submitted ChargeAmount | 6690.06 |
| Total Drug Medicare AllowedAmount | 4648.81 |
| Total Drug Medicare PaymentAmount | 3599.01 |
| Total Drug Medicare Standardized Payment Amount | 3599.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 145 |
| Number Of Medical Services | 3365 |
| Number Of Medicare Beneficiaries With Medical Services | 2408 |
| Total Medical Submitted Charge Amount | 1091542.98 |
| Total Medical Medicare Allowed Amount | 247767.1 |
| Total Medical Medicare Payment Amount | 189482.81 |
| Total Medical Medicare Standardized Payment Amount | 202968.28 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 617 |
| Number Of Beneficiaries Age 65 to 74 | 780 |
| Number Of Beneficiaries Age 75 to 84 | 625 |
| Number Of Beneficiaries Age Greater 84 | 388 |
| Number Of Female Beneficiaries | 1418 |
| Number Of Male Beneficiaries | 992 |
| Number Of Non Hispanic White Beneficiaries | 1879 |
| Number Of Black or African American Beneficiaries | 478 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1643 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 767 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.7394 |