National Provider Identifier [NPI]: |
1619901386 |
Last Name Of The Provider |
MATTHEOS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 ORTHOPEDICS DR |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
PEABODY |
Zip Code Of The Provider |
019601668 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3249 |
Number Of Medicare Beneficiaries |
440 |
Total Submitted Charge Amount |
1090527 |
Total Medicare Allowed Amount |
245085.12 |
Total Medicare Payment Amount |
178738.39 |
Total Medicare Standardized Payment Amount |
176913.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
619 |
Number Of Medicare Beneficiaries With Drug Services |
264 |
Total Drug Submitted ChargeAmount |
113422 |
Total Drug Medicare AllowedAmount |
37340.69 |
Total Drug Medicare PaymentAmount |
28586.32 |
Total Drug Medicare Standardized Payment Amount |
28586.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
2630 |
Number Of Medicare Beneficiaries With Medical Services |
440 |
Total Medical Submitted Charge Amount |
977105 |
Total Medical Medicare Allowed Amount |
207744.43 |
Total Medical Medicare Payment Amount |
150152.07 |
Total Medical Medicare Standardized Payment Amount |
148326.9 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
421 |
Number Of Black or African American Beneficiaries |
0 |
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 |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0738 |