National Provider Identifier [NPI]: |
1083876940 |
Last Name Of The Provider |
EVANS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2112 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176012644 |
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 |
80 |
Number Of Services |
4973 |
Number Of Medicare Beneficiaries |
1530 |
Total Submitted Charge Amount |
1153814.02 |
Total Medicare Allowed Amount |
319886.02 |
Total Medicare Payment Amount |
240052.28 |
Total Medicare Standardized Payment Amount |
254019.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
73704 |
Total Drug Medicare AllowedAmount |
15921.41 |
Total Drug Medicare PaymentAmount |
12461.28 |
Total Drug Medicare Standardized Payment Amount |
12461.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
4659 |
Number Of Medicare Beneficiaries With Medical Services |
1530 |
Total Medical Submitted Charge Amount |
1080110.02 |
Total Medical Medicare Allowed Amount |
303964.61 |
Total Medical Medicare Payment Amount |
227591 |
Total Medical Medicare Standardized Payment Amount |
241558.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
447 |
Number Of Female Beneficiaries |
798 |
Number Of Male Beneficiaries |
732 |
Number Of Non Hispanic White Beneficiaries |
1437 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6328 |