National Provider Identifier [NPI]: |
1245348390 |
Last Name Of The Provider |
MATTHEWS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 S ENOTA DR NE STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013466 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
8653 |
Number Of Medicare Beneficiaries |
2831 |
Total Submitted Charge Amount |
1696658.91 |
Total Medicare Allowed Amount |
564406.71 |
Total Medicare Payment Amount |
413128.35 |
Total Medicare Standardized Payment Amount |
428309.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
170 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
22722.91 |
Total Drug Medicare AllowedAmount |
9001.62 |
Total Drug Medicare PaymentAmount |
7057.23 |
Total Drug Medicare Standardized Payment Amount |
7057.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
8483 |
Number Of Medicare Beneficiaries With Medical Services |
2831 |
Total Medical Submitted Charge Amount |
1673936 |
Total Medical Medicare Allowed Amount |
555405.09 |
Total Medical Medicare Payment Amount |
406071.12 |
Total Medical Medicare Standardized Payment Amount |
421251.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
282 |
Number Of Beneficiaries Age 65 to 74 |
1178 |
Number Of Beneficiaries Age 75 to 84 |
987 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
1482 |
Number Of Male Beneficiaries |
1349 |
Number Of Non Hispanic White Beneficiaries |
2672 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5594 |