National Provider Identifier [NPI]: |
1497953848 |
Last Name Of The Provider |
CUMMINGS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2904 MAHALA LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405098555 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
2404 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
3135383 |
Total Medicare Allowed Amount |
276718.42 |
Total Medicare Payment Amount |
212225.55 |
Total Medicare Standardized Payment Amount |
222616.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
37740 |
Total Drug Medicare AllowedAmount |
10803.95 |
Total Drug Medicare PaymentAmount |
8470.2 |
Total Drug Medicare Standardized Payment Amount |
8470.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
2200 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
3097643 |
Total Medical Medicare Allowed Amount |
265914.47 |
Total Medical Medicare Payment Amount |
203755.35 |
Total Medical Medicare Standardized Payment Amount |
214145.81 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
234 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
456 |
Number Of Black or African American Beneficiaries |
233 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
143 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
431 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1661 |