National Provider Identifier [NPI]: |
1386750057 |
Last Name Of The Provider |
ALLAWAY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12234 WILLLIAMS ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CUMBERLAND |
Zip Code Of The Provider |
21502 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
17359 |
Number Of Medicare Beneficiaries |
1737 |
Total Submitted Charge Amount |
1621646 |
Total Medicare Allowed Amount |
1036552.68 |
Total Medicare Payment Amount |
787831.65 |
Total Medicare Standardized Payment Amount |
784116.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
8449 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
398181 |
Total Drug Medicare AllowedAmount |
359433.98 |
Total Drug Medicare PaymentAmount |
281680.96 |
Total Drug Medicare Standardized Payment Amount |
281680.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
8910 |
Number Of Medicare Beneficiaries With Medical Services |
1737 |
Total Medical Submitted Charge Amount |
1223465 |
Total Medical Medicare Allowed Amount |
677118.7 |
Total Medical Medicare Payment Amount |
506150.69 |
Total Medical Medicare Standardized Payment Amount |
502435.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
747 |
Number Of Beneficiaries Age 75 to 84 |
605 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
1264 |
Number Of Non Hispanic White Beneficiaries |
1699 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.196 |