National Provider Identifier [NPI]: |
1053300673 |
Last Name Of The Provider |
MATTHEWS |
First Name Of The Provider |
OSCAR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2095 W VISTA WAY |
Street Address 2 Of The Provider |
#107 |
City Of The Provider |
VISTA |
Zip Code Of The Provider |
920836027 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2557 |
Number Of Medicare Beneficiaries |
1008 |
Total Submitted Charge Amount |
527182 |
Total Medicare Allowed Amount |
184063.29 |
Total Medicare Payment Amount |
136028.52 |
Total Medicare Standardized Payment Amount |
131064.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2557 |
Number Of Medicare Beneficiaries With Medical Services |
1008 |
Total Medical Submitted Charge Amount |
527182 |
Total Medical Medicare Allowed Amount |
184063.29 |
Total Medical Medicare Payment Amount |
136028.52 |
Total Medical Medicare Standardized Payment Amount |
131064.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
545 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
683 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
58 |
Number Of Hispanic Beneficiaries |
195 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0142 |