National Provider Identifier [NPI]: |
1649217142 |
Last Name Of The Provider |
MATTHEWS |
First Name Of The Provider |
JOANNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1850 W ARLINGTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
278345704 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
6838 |
Number Of Medicare Beneficiaries |
656 |
Total Submitted Charge Amount |
707398 |
Total Medicare Allowed Amount |
225410.7 |
Total Medicare Payment Amount |
175372.4 |
Total Medicare Standardized Payment Amount |
185233.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4485 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
34914 |
Total Drug Medicare AllowedAmount |
22388.25 |
Total Drug Medicare PaymentAmount |
17620.82 |
Total Drug Medicare Standardized Payment Amount |
17620.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
2353 |
Number Of Medicare Beneficiaries With Medical Services |
656 |
Total Medical Submitted Charge Amount |
672484 |
Total Medical Medicare Allowed Amount |
203022.45 |
Total Medical Medicare Payment Amount |
157751.58 |
Total Medical Medicare Standardized Payment Amount |
167612.99 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
440 |
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 |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3886 |