Medicare Facts for Dr. Martin E. Matsumura, MD


National Provider Identifier [NPI]: 1821103946
Last Name Of The Provider MATSUMURA
First Name Of The Provider MARTIN
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1202 S CEDAR CREST BLVD
Street Address 2 Of The Provider SUITE 500
City Of The Provider ALLENTOWN
Zip Code Of The Provider 181036202
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 52
Number Of Services 3481
Number Of Medicare Beneficiaries 1873
Total Submitted Charge Amount 797225
Total Medicare Allowed Amount 294190.33
Total Medicare Payment Amount 215876.21
Total Medicare Standardized Payment Amount 227654.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 172
Number Of Medicare Beneficiaries With Drug Services 48
Total Drug Submitted ChargeAmount 12863
Total Drug Medicare AllowedAmount 9001.7
Total Drug Medicare PaymentAmount 6726.42
Total Drug Medicare Standardized Payment Amount 6726.42
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 3309
Number Of Medicare Beneficiaries With Medical Services 1873
Total Medical Submitted Charge Amount 784362
Total Medical Medicare Allowed Amount 285188.63
Total Medical Medicare Payment Amount 209149.79
Total Medical Medicare Standardized Payment Amount 220928.56
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 189
Number Of Beneficiaries Age 65 to 74 605
Number Of Beneficiaries Age 75 to 84 688
Number Of Beneficiaries Age Greater 84 391
Number Of Female Beneficiaries 873
Number Of Male Beneficiaries 1000
Number Of Non Hispanic White Beneficiaries 1755
Number Of Black or African American Beneficiaries 37
Number Of AsianPacific Islander Beneficiaries 11
Number Of Hispanic Beneficiaries 49
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 21
Number Of Beneficiaries With Medicare Only Entitlement 1634
Number Of Beneficiaries With Medicare Medicaid Entitlement 239
Percent Of With Atrial Fibrillation 39
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 8
Percent Of With Cancer 13
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 26
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 72
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.8014

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