National Provider Identifier [NPI]: |
1871538702 |
Last Name Of The Provider |
ROWLEY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 CHRISTIE STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUFKIN |
Zip Code Of The Provider |
759043598 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
12347 |
Number Of Medicare Beneficiaries |
2110 |
Total Submitted Charge Amount |
2460112.02 |
Total Medicare Allowed Amount |
890189.83 |
Total Medicare Payment Amount |
648181.55 |
Total Medicare Standardized Payment Amount |
687546.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
230 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
56003.02 |
Total Drug Medicare AllowedAmount |
34973.08 |
Total Drug Medicare PaymentAmount |
26616.24 |
Total Drug Medicare Standardized Payment Amount |
26616.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
12117 |
Number Of Medicare Beneficiaries With Medical Services |
2110 |
Total Medical Submitted Charge Amount |
2404109 |
Total Medical Medicare Allowed Amount |
855216.75 |
Total Medical Medicare Payment Amount |
621565.31 |
Total Medical Medicare Standardized Payment Amount |
660930.23 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
847 |
Number Of Beneficiaries Age 75 to 84 |
771 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
1029 |
Number Of Male Beneficiaries |
1081 |
Number Of Non Hispanic White Beneficiaries |
1991 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1419 |