| National Provider Identifier [NPI]: | 1285896829 |
| Last Name Of The Provider | HANSON |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 537 STANTON CHRISTIANA ROAD, SIUTE 107 |
| Street Address 2 Of The Provider | APEX MEDICAL CENTER |
| City Of The Provider | NEWARK |
| Zip Code Of The Provider | 197130000 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 70 |
| Number Of Services | 12979 |
| Number Of Medicare Beneficiaries | 3919 |
| Total Submitted Charge Amount | 2167586 |
| Total Medicare Allowed Amount | 953875.18 |
| Total Medicare Payment Amount | 720350.89 |
| Total Medicare Standardized Payment Amount | 544362.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 33 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 5848 |
| Total Drug Medicare AllowedAmount | 4950.32 |
| Total Drug Medicare PaymentAmount | 3871.85 |
| Total Drug Medicare Standardized Payment Amount | 3871.85 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 12946 |
| Number Of Medicare Beneficiaries With Medical Services | 3919 |
| Total Medical Submitted Charge Amount | 2161738 |
| Total Medical Medicare Allowed Amount | 948924.86 |
| Total Medical Medicare Payment Amount | 716479.04 |
| Total Medical Medicare Standardized Payment Amount | 540490.19 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 182 |
| Number Of Beneficiaries Age 65 to 74 | 1950 |
| Number Of Beneficiaries Age 75 to 84 | 1299 |
| Number Of Beneficiaries Age Greater 84 | 488 |
| Number Of Female Beneficiaries | 1860 |
| Number Of Male Beneficiaries | 2059 |
| Number Of Non Hispanic White Beneficiaries | 3707 |
| Number Of Black or African American Beneficiaries | 94 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 58 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3714 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 205 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0039 |