National Provider Identifier [NPI]: |
1164467452 |
Last Name Of The Provider |
SEWELL |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
255 W LANCASTER AVE |
Street Address 2 Of The Provider |
MOB# 2 SUITE 328 |
City Of The Provider |
PAOLI |
Zip Code Of The Provider |
193011763 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5398 |
Number Of Medicare Beneficiaries |
1606 |
Total Submitted Charge Amount |
1178355.53 |
Total Medicare Allowed Amount |
421278.94 |
Total Medicare Payment Amount |
320609.81 |
Total Medicare Standardized Payment Amount |
304243.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
12742.8 |
Total Drug Medicare AllowedAmount |
12706.13 |
Total Drug Medicare PaymentAmount |
9961.86 |
Total Drug Medicare Standardized Payment Amount |
9961.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5121 |
Number Of Medicare Beneficiaries With Medical Services |
1606 |
Total Medical Submitted Charge Amount |
1165612.73 |
Total Medical Medicare Allowed Amount |
408572.81 |
Total Medical Medicare Payment Amount |
310647.95 |
Total Medical Medicare Standardized Payment Amount |
294281.56 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
527 |
Number Of Beneficiaries Age Greater 84 |
414 |
Number Of Female Beneficiaries |
911 |
Number Of Male Beneficiaries |
695 |
Number Of Non Hispanic White Beneficiaries |
1501 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.5371 |