Medicare Facts for Dr. Matthew M. Cole, MD


National Provider Identifier [NPI]: 1285889311
Last Name Of The Provider COLE
First Name Of The Provider MATTHEW
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 12744 KINGSTON PIKE
Street Address 2 Of The Provider STE 108
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379340940
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 3078
Number Of Medicare Beneficiaries 346
Total Submitted Charge Amount 1278517
Total Medicare Allowed Amount 664551.43
Total Medicare Payment Amount 515690.09
Total Medicare Standardized Payment Amount 526519.35
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 1320
Number Of Medicare Beneficiaries With Drug Services 88
Total Drug Submitted ChargeAmount 760338
Total Drug Medicare AllowedAmount 502573.93
Total Drug Medicare PaymentAmount 393774.4
Total Drug Medicare Standardized Payment Amount 393774.4
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 24
Number Of Medical Services 1758
Number Of Medicare Beneficiaries With Medical Services 346
Total Medical Submitted Charge Amount 518179
Total Medical Medicare Allowed Amount 161977.5
Total Medical Medicare Payment Amount 121915.69
Total Medical Medicare Standardized Payment Amount 132744.95
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 127
Number Of Beneficiaries Age 75 to 84 112
Number Of Beneficiaries Age Greater 84 78
Number Of Female Beneficiaries 208
Number Of Male Beneficiaries 138
Number Of Non Hispanic White Beneficiaries 331
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 313
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 19
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1391

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