National Provider Identifier [NPI]: |
1538162912 |
Last Name Of The Provider |
MATYAS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8020 CONSTITUTION PL NE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
ALBUQUERQUE |
Zip Code Of The Provider |
871107607 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
8527 |
Number Of Medicare Beneficiaries |
1811 |
Total Submitted Charge Amount |
1785964.92 |
Total Medicare Allowed Amount |
347124.36 |
Total Medicare Payment Amount |
273721 |
Total Medicare Standardized Payment Amount |
291066.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5261 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
11107.6 |
Total Drug Medicare AllowedAmount |
3585.59 |
Total Drug Medicare PaymentAmount |
2736.25 |
Total Drug Medicare Standardized Payment Amount |
2736.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
3266 |
Number Of Medicare Beneficiaries With Medical Services |
1811 |
Total Medical Submitted Charge Amount |
1774857.32 |
Total Medical Medicare Allowed Amount |
343538.77 |
Total Medical Medicare Payment Amount |
270984.75 |
Total Medical Medicare Standardized Payment Amount |
288329.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
235 |
Number Of Beneficiaries Age 65 to 74 |
906 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
1368 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
1283 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
385 |
Number Of American Indian Alaska Native Beneficiaries |
76 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.171 |