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 |