Medicare Facts for Dr. Catherine L. Mathes, MD


National Provider Identifier [NPI]: 1427092808
Last Name Of The Provider MATHES
First Name Of The Provider CATHERINE
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 FT SANDERS W BLVD
Street Address 2 Of The Provider SUITE 304
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379223357
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 126
Number Of Services 5539
Number Of Medicare Beneficiaries 356
Total Submitted Charge Amount 285452
Total Medicare Allowed Amount 151137.03
Total Medicare Payment Amount 115818.02
Total Medicare Standardized Payment Amount 123166.8
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 638
Number Of Medicare Beneficiaries With Drug Services 129
Total Drug Submitted ChargeAmount 15085
Total Drug Medicare AllowedAmount 10593.05
Total Drug Medicare PaymentAmount 8701.52
Total Drug Medicare Standardized Payment Amount 8701.52
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 115
Number Of Medical Services 4901
Number Of Medicare Beneficiaries With Medical Services 355
Total Medical Submitted Charge Amount 270367
Total Medical Medicare Allowed Amount 140543.98
Total Medical Medicare Payment Amount 107116.5
Total Medical Medicare Standardized Payment Amount 114465.28
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 178
Number Of Beneficiaries Age 75 to 84 106
Number Of Beneficiaries Age Greater 84 43
Number Of Female Beneficiaries 294
Number Of Male Beneficiaries 62
Number Of Non Hispanic White Beneficiaries 329
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 334
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 6
Percent Of With Cancer 7
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 15
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8873

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