National Provider Identifier [NPI]: |
1336303247 |
Last Name Of The Provider |
CUNNINGHAM |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1025 PRIMERA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE MARY |
Zip Code Of The Provider |
327462175 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
7810 |
Number Of Medicare Beneficiaries |
964 |
Total Submitted Charge Amount |
2087928.4 |
Total Medicare Allowed Amount |
889987.13 |
Total Medicare Payment Amount |
673123.81 |
Total Medicare Standardized Payment Amount |
680955.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
572 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
398143 |
Total Drug Medicare AllowedAmount |
257852.32 |
Total Drug Medicare PaymentAmount |
202063.25 |
Total Drug Medicare Standardized Payment Amount |
202063.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
7238 |
Number Of Medicare Beneficiaries With Medical Services |
964 |
Total Medical Submitted Charge Amount |
1689785.4 |
Total Medical Medicare Allowed Amount |
632134.81 |
Total Medical Medicare Payment Amount |
471060.56 |
Total Medical Medicare Standardized Payment Amount |
478892.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
728 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
810 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5845 |