National Provider Identifier [NPI]: |
1346390952 |
Last Name Of The Provider |
MATHUR |
First Name Of The Provider |
VEENA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 N FANT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
296215708 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
185 |
Number Of Services |
7325 |
Number Of Medicare Beneficiaries |
4633 |
Total Submitted Charge Amount |
1087349 |
Total Medicare Allowed Amount |
229426.85 |
Total Medicare Payment Amount |
181817.9 |
Total Medicare Standardized Payment Amount |
191984.49 |
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 |
185 |
Number Of Medical Services |
7325 |
Number Of Medicare Beneficiaries With Medical Services |
4633 |
Total Medical Submitted Charge Amount |
1087349 |
Total Medical Medicare Allowed Amount |
229426.85 |
Total Medical Medicare Payment Amount |
181817.9 |
Total Medical Medicare Standardized Payment Amount |
191984.49 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
868 |
Number Of Beneficiaries Age 65 to 74 |
1717 |
Number Of Beneficiaries Age 75 to 84 |
1368 |
Number Of Beneficiaries Age Greater 84 |
680 |
Number Of Female Beneficiaries |
3003 |
Number Of Male Beneficiaries |
1630 |
Number Of Non Hispanic White Beneficiaries |
3927 |
Number Of Black or African American Beneficiaries |
644 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
3507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1126 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5304 |