| National Provider Identifier [NPI]: | 1972800282 |
| Last Name Of The Provider | STEPHENSON |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1224 TROTWOOD AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | COLUMBIA |
| Zip Code Of The Provider | 384014802 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 209 |
| Number Of Services | 8057 |
| Number Of Medicare Beneficiaries | 3950 |
| Total Submitted Charge Amount | 979276.96 |
| Total Medicare Allowed Amount | 220821.51 |
| Total Medicare Payment Amount | 163034.79 |
| Total Medicare Standardized Payment Amount | 176774.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1568 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 3161.5 |
| Total Drug Medicare AllowedAmount | 507.28 |
| Total Drug Medicare PaymentAmount | 397.69 |
| Total Drug Medicare Standardized Payment Amount | 397.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 207 |
| Number Of Medical Services | 6489 |
| Number Of Medicare Beneficiaries With Medical Services | 3950 |
| Total Medical Submitted Charge Amount | 976115.46 |
| Total Medical Medicare Allowed Amount | 220314.23 |
| Total Medical Medicare Payment Amount | 162637.1 |
| Total Medical Medicare Standardized Payment Amount | 176376.62 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 849 |
| Number Of Beneficiaries Age 65 to 74 | 1509 |
| Number Of Beneficiaries Age 75 to 84 | 1105 |
| Number Of Beneficiaries Age Greater 84 | 487 |
| Number Of Female Beneficiaries | 2457 |
| Number Of Male Beneficiaries | 1493 |
| Number Of Non Hispanic White Beneficiaries | 3624 |
| Number Of Black or African American Beneficiaries | 252 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2813 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1137 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5448 |