| National Provider Identifier [NPI]: | 1043218639 |
| Last Name Of The Provider | MATEJKA |
| First Name Of The Provider | KENNETH |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1521 S STAPLES ST |
| Street Address 2 Of The Provider | SUITES 104, 301 & 304 |
| City Of The Provider | CORPUS CHRISTI |
| Zip Code Of The Provider | 784043150 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 164 |
| Number Of Services | 19819 |
| Number Of Medicare Beneficiaries | 3257 |
| Total Submitted Charge Amount | 1883617.46 |
| Total Medicare Allowed Amount | 477331.34 |
| Total Medicare Payment Amount | 358196.52 |
| Total Medicare Standardized Payment Amount | 394813.41 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 15096 |
| Number Of Medicare Beneficiaries With Drug Services | 355 |
| Total Drug Submitted ChargeAmount | 19703.96 |
| Total Drug Medicare AllowedAmount | 10274.25 |
| Total Drug Medicare PaymentAmount | 7969.22 |
| Total Drug Medicare Standardized Payment Amount | 7969.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 4723 |
| Number Of Medicare Beneficiaries With Medical Services | 3257 |
| Total Medical Submitted Charge Amount | 1863913.5 |
| Total Medical Medicare Allowed Amount | 467057.09 |
| Total Medical Medicare Payment Amount | 350227.3 |
| Total Medical Medicare Standardized Payment Amount | 386844.19 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 553 |
| Number Of Beneficiaries Age 65 to 74 | 1396 |
| Number Of Beneficiaries Age 75 to 84 | 925 |
| Number Of Beneficiaries Age Greater 84 | 383 |
| Number Of Female Beneficiaries | 1911 |
| Number Of Male Beneficiaries | 1346 |
| Number Of Non Hispanic White Beneficiaries | 1938 |
| Number Of Black or African American Beneficiaries | 66 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1210 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2481 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 776 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4727 |