National Provider Identifier [NPI]: |
1689672529 |
Last Name Of The Provider |
MATHIA |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
37399 GARFIELD RD |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
CLINTON TWP |
Zip Code Of The Provider |
480363672 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
2364 |
Number Of Medicare Beneficiaries |
876 |
Total Submitted Charge Amount |
903784 |
Total Medicare Allowed Amount |
400340.79 |
Total Medicare Payment Amount |
306935.1 |
Total Medicare Standardized Payment Amount |
293391.12 |
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 |
181 |
Number Of Medical Services |
2364 |
Number Of Medicare Beneficiaries With Medical Services |
876 |
Total Medical Submitted Charge Amount |
903784 |
Total Medical Medicare Allowed Amount |
400340.79 |
Total Medical Medicare Payment Amount |
306935.1 |
Total Medical Medicare Standardized Payment Amount |
293391.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
320 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
783 |
Number Of Black or African American Beneficiaries |
69 |
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 |
675 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.858 |