National Provider Identifier [NPI]: |
1306841440 |
Last Name Of The Provider |
CARY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 MED TECH PKWY |
Street Address 2 Of The Provider |
STE 240 |
City Of The Provider |
JOHNSON CITY |
Zip Code Of The Provider |
376042364 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
5093 |
Number Of Medicare Beneficiaries |
402 |
Total Submitted Charge Amount |
354771.63 |
Total Medicare Allowed Amount |
174208.83 |
Total Medicare Payment Amount |
133432.4 |
Total Medicare Standardized Payment Amount |
140048.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1074 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
29885 |
Total Drug Medicare AllowedAmount |
18448.62 |
Total Drug Medicare PaymentAmount |
15741.39 |
Total Drug Medicare Standardized Payment Amount |
15741.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4019 |
Number Of Medicare Beneficiaries With Medical Services |
402 |
Total Medical Submitted Charge Amount |
324886.63 |
Total Medical Medicare Allowed Amount |
155760.21 |
Total Medical Medicare Payment Amount |
117691.01 |
Total Medical Medicare Standardized Payment Amount |
124306.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3723 |