National Provider Identifier [NPI]: |
1417953068 |
Last Name Of The Provider |
MATROS |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3705 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432143467 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4109 |
Number Of Medicare Beneficiaries |
2530 |
Total Submitted Charge Amount |
412770 |
Total Medicare Allowed Amount |
201702.76 |
Total Medicare Payment Amount |
152633.74 |
Total Medicare Standardized Payment Amount |
157857.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4109 |
Number Of Medicare Beneficiaries With Medical Services |
2530 |
Total Medical Submitted Charge Amount |
412770 |
Total Medical Medicare Allowed Amount |
201702.76 |
Total Medical Medicare Payment Amount |
152633.74 |
Total Medical Medicare Standardized Payment Amount |
157857.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
341 |
Number Of Beneficiaries Age 65 to 74 |
883 |
Number Of Beneficiaries Age 75 to 84 |
809 |
Number Of Beneficiaries Age Greater 84 |
497 |
Number Of Female Beneficiaries |
1338 |
Number Of Male Beneficiaries |
1192 |
Number Of Non Hispanic White Beneficiaries |
2297 |
Number Of Black or African American Beneficiaries |
153 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2035 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
495 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.7091 |