National Provider Identifier [NPI]: |
1699086199 |
Last Name Of The Provider |
MCLEAN |
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 |
1720 SPRING HILL AVE |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366041410 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
6655 |
Number Of Medicare Beneficiaries |
332 |
Total Submitted Charge Amount |
164739 |
Total Medicare Allowed Amount |
119259.57 |
Total Medicare Payment Amount |
92473.68 |
Total Medicare Standardized Payment Amount |
97361.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
5600 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
44800 |
Total Drug Medicare AllowedAmount |
31150.4 |
Total Drug Medicare PaymentAmount |
23979.3 |
Total Drug Medicare Standardized Payment Amount |
23979.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1055 |
Number Of Medicare Beneficiaries With Medical Services |
332 |
Total Medical Submitted Charge Amount |
119939 |
Total Medical Medicare Allowed Amount |
88109.17 |
Total Medical Medicare Payment Amount |
68494.38 |
Total Medical Medicare Standardized Payment Amount |
73381.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
223 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.6063 |