National Provider Identifier [NPI]: |
1083666416 |
Last Name Of The Provider |
STUDLEY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2930 SQUALICUM PKWY |
Street Address 2 Of The Provider |
SUITE #101 |
City Of The Provider |
BELLINGHAM |
Zip Code Of The Provider |
982251854 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
21833 |
Number Of Medicare Beneficiaries |
2520 |
Total Submitted Charge Amount |
1716636.95 |
Total Medicare Allowed Amount |
331735.58 |
Total Medicare Payment Amount |
258499.37 |
Total Medicare Standardized Payment Amount |
261576.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
17827 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
19129.1 |
Total Drug Medicare AllowedAmount |
3863.59 |
Total Drug Medicare PaymentAmount |
2967.75 |
Total Drug Medicare Standardized Payment Amount |
2967.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
4006 |
Number Of Medicare Beneficiaries With Medical Services |
2520 |
Total Medical Submitted Charge Amount |
1697507.85 |
Total Medical Medicare Allowed Amount |
327871.99 |
Total Medical Medicare Payment Amount |
255531.62 |
Total Medical Medicare Standardized Payment Amount |
258608.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
393 |
Number Of Beneficiaries Age 65 to 74 |
1017 |
Number Of Beneficiaries Age 75 to 84 |
776 |
Number Of Beneficiaries Age Greater 84 |
334 |
Number Of Female Beneficiaries |
1562 |
Number Of Male Beneficiaries |
958 |
Number Of Non Hispanic White Beneficiaries |
2247 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
84 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1920 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
600 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2605 |