National Provider Identifier [NPI]: |
1841210713 |
Last Name Of The Provider |
MATHEWS |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 CCI DR NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358052606 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
183 |
Number Of Services |
236388 |
Number Of Medicare Beneficiaries |
1372 |
Total Submitted Charge Amount |
8210821.5 |
Total Medicare Allowed Amount |
3658550.08 |
Total Medicare Payment Amount |
2794243.53 |
Total Medicare Standardized Payment Amount |
2830952.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
87 |
Number Of Drug Services |
217114 |
Number Of Medicare Beneficiaries With Drug Services |
515 |
Total Drug Submitted ChargeAmount |
6591563 |
Total Drug Medicare AllowedAmount |
2897054.41 |
Total Drug Medicare PaymentAmount |
2199950.17 |
Total Drug Medicare Standardized Payment Amount |
2199950.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
19274 |
Number Of Medicare Beneficiaries With Medical Services |
1372 |
Total Medical Submitted Charge Amount |
1619258.5 |
Total Medical Medicare Allowed Amount |
761495.67 |
Total Medical Medicare Payment Amount |
594293.36 |
Total Medical Medicare Standardized Payment Amount |
631001.86 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
571 |
Number Of Beneficiaries Age 75 to 84 |
434 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
820 |
Number Of Male Beneficiaries |
552 |
Number Of Non Hispanic White Beneficiaries |
1179 |
Number Of Black or African American Beneficiaries |
167 |
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 |
1169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9094 |