National Provider Identifier [NPI]: |
1902809866 |
Last Name Of The Provider |
MATTLEMAN |
First Name Of The Provider |
STEVEN |
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 |
261 OLD YORK RD |
Street Address 2 Of The Provider |
STE 214 |
City Of The Provider |
JENKINTOWN |
Zip Code Of The Provider |
190463706 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
6459 |
Number Of Medicare Beneficiaries |
1427 |
Total Submitted Charge Amount |
822474 |
Total Medicare Allowed Amount |
428490.24 |
Total Medicare Payment Amount |
324763.45 |
Total Medicare Standardized Payment Amount |
310266.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
313 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
27727 |
Total Drug Medicare AllowedAmount |
16357.68 |
Total Drug Medicare PaymentAmount |
12831 |
Total Drug Medicare Standardized Payment Amount |
12831 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
6146 |
Number Of Medicare Beneficiaries With Medical Services |
1427 |
Total Medical Submitted Charge Amount |
794747 |
Total Medical Medicare Allowed Amount |
412132.56 |
Total Medical Medicare Payment Amount |
311932.45 |
Total Medical Medicare Standardized Payment Amount |
297435.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
552 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
306 |
Number Of Female Beneficiaries |
730 |
Number Of Male Beneficiaries |
697 |
Number Of Non Hispanic White Beneficiaries |
1253 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6331 |