National Provider Identifier [NPI]: |
1366484735 |
Last Name Of The Provider |
MATHEW |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
522 N 5TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEQUIM |
Zip Code Of The Provider |
983823079 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4850 |
Number Of Medicare Beneficiaries |
1046 |
Total Submitted Charge Amount |
505228.92 |
Total Medicare Allowed Amount |
303983.87 |
Total Medicare Payment Amount |
199985.74 |
Total Medicare Standardized Payment Amount |
200754.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
859 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
11433 |
Total Drug Medicare AllowedAmount |
2965.51 |
Total Drug Medicare PaymentAmount |
2461.56 |
Total Drug Medicare Standardized Payment Amount |
2461.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3991 |
Number Of Medicare Beneficiaries With Medical Services |
1046 |
Total Medical Submitted Charge Amount |
493795.92 |
Total Medical Medicare Allowed Amount |
301018.36 |
Total Medical Medicare Payment Amount |
197524.18 |
Total Medical Medicare Standardized Payment Amount |
198293.02 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
478 |
Number Of Beneficiaries Age 75 to 84 |
333 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
541 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
989 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
978 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9394 |