National Provider Identifier [NPI]: |
1053414524 |
Last Name Of The Provider |
MATHER |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
331 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LEBANON |
Zip Code Of The Provider |
655369217 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
3298 |
Number Of Medicare Beneficiaries |
462 |
Total Submitted Charge Amount |
955281 |
Total Medicare Allowed Amount |
282520.55 |
Total Medicare Payment Amount |
210879.09 |
Total Medicare Standardized Payment Amount |
228770.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
984 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
58772 |
Total Drug Medicare AllowedAmount |
32569.94 |
Total Drug Medicare PaymentAmount |
25150.54 |
Total Drug Medicare Standardized Payment Amount |
25150.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
2314 |
Number Of Medicare Beneficiaries With Medical Services |
462 |
Total Medical Submitted Charge Amount |
896509 |
Total Medical Medicare Allowed Amount |
249950.61 |
Total Medical Medicare Payment Amount |
185728.55 |
Total Medical Medicare Standardized Payment Amount |
203619.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
196 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
|
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 |
362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.004 |