| National Provider Identifier [NPI]: | 1871548529 |
| Last Name Of The Provider | DIXON |
| First Name Of The Provider | MATHEW |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4700 WATERS AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAVANNAH |
| Zip Code Of The Provider | 314046220 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 235 |
| Number Of Services | 7468 |
| Number Of Medicare Beneficiaries | 3921 |
| Total Submitted Charge Amount | 1161006.52 |
| Total Medicare Allowed Amount | 200813.55 |
| Total Medicare Payment Amount | 155701.25 |
| Total Medicare Standardized Payment Amount | 163406.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1022 |
| Number Of Medicare Beneficiaries With Drug Services | 17 |
| Total Drug Submitted ChargeAmount | 11097.24 |
| Total Drug Medicare AllowedAmount | 331 |
| Total Drug Medicare PaymentAmount | 259.52 |
| Total Drug Medicare Standardized Payment Amount | 259.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 233 |
| Number Of Medical Services | 6446 |
| Number Of Medicare Beneficiaries With Medical Services | 3921 |
| Total Medical Submitted Charge Amount | 1149909.28 |
| Total Medical Medicare Allowed Amount | 200482.55 |
| Total Medical Medicare Payment Amount | 155441.73 |
| Total Medical Medicare Standardized Payment Amount | 163147.09 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 744 |
| Number Of Beneficiaries Age 65 to 74 | 1569 |
| Number Of Beneficiaries Age 75 to 84 | 1092 |
| Number Of Beneficiaries Age Greater 84 | 516 |
| Number Of Female Beneficiaries | 2372 |
| Number Of Male Beneficiaries | 1549 |
| Number Of Non Hispanic White Beneficiaries | 3009 |
| Number Of Black or African American Beneficiaries | 812 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2919 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1002 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6681 |