| National Provider Identifier [NPI]: | 1740289644 |
| Last Name Of The Provider | WARD |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3430 TAMIAMI TRL |
| Street Address 2 Of The Provider | STE B |
| City Of The Provider | PORT CHARLOTTE |
| Zip Code Of The Provider | 339528148 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 179 |
| Number Of Services | 30551 |
| Number Of Medicare Beneficiaries | 5500 |
| Total Submitted Charge Amount | 1784424.51 |
| Total Medicare Allowed Amount | 825199.25 |
| Total Medicare Payment Amount | 669009.83 |
| Total Medicare Standardized Payment Amount | 688678.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 21749 |
| Number Of Medicare Beneficiaries With Drug Services | 342 |
| Total Drug Submitted ChargeAmount | 13093.25 |
| Total Drug Medicare AllowedAmount | 6644.1 |
| Total Drug Medicare PaymentAmount | 5150.68 |
| Total Drug Medicare Standardized Payment Amount | 5150.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 8802 |
| Number Of Medicare Beneficiaries With Medical Services | 5498 |
| Total Medical Submitted Charge Amount | 1771331.26 |
| Total Medical Medicare Allowed Amount | 818555.15 |
| Total Medical Medicare Payment Amount | 663859.15 |
| Total Medical Medicare Standardized Payment Amount | 683527.59 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 451 |
| Number Of Beneficiaries Age 65 to 74 | 2769 |
| Number Of Beneficiaries Age 75 to 84 | 1728 |
| Number Of Beneficiaries Age Greater 84 | 552 |
| Number Of Female Beneficiaries | 3852 |
| Number Of Male Beneficiaries | 1648 |
| Number Of Non Hispanic White Beneficiaries | 5134 |
| Number Of Black or African American Beneficiaries | 134 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 127 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 78 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5135 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 365 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0662 |