Medicare Facts for Katherine A. Mattingly, PA-C


National Provider Identifier [NPI]: 1699774174
Last Name Of The Provider MATTINGLY
First Name Of The Provider KATHERINE
Middle Initial Of The Provider A
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 122 WYOMING ST
Street Address 2 Of The Provider
City Of The Provider DAYTON
Zip Code Of The Provider 454092731
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 369
Number Of Medicare Beneficiaries 221
Total Submitted Charge Amount 22796
Total Medicare Allowed Amount 9784.43
Total Medicare Payment Amount 7326.31
Total Medicare Standardized Payment Amount 9186.37
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 11
Number Of Medical Services 369
Number Of Medicare Beneficiaries With Medical Services 221
Total Medical Submitted Charge Amount 22796
Total Medical Medicare Allowed Amount 9784.43
Total Medical Medicare Payment Amount 7326.31
Total Medical Medicare Standardized Payment Amount 9186.37
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 32
Number Of Beneficiaries Age 65 to 74 91
Number Of Beneficiaries Age 75 to 84 69
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 104
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 188
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 194
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
Percent Of With Atrial Fibrillation 61
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 22
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.7103

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