National Provider Identifier [NPI]: |
1679782361 |
Last Name Of The Provider |
PETERSON |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 DUFF AVE |
Street Address 2 Of The Provider |
MCFARLAND CLINIC, PC |
City Of The Provider |
AMES |
Zip Code Of The Provider |
500103014 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
11176 |
Number Of Medicare Beneficiaries |
3920 |
Total Submitted Charge Amount |
1224693.26 |
Total Medicare Allowed Amount |
358942.39 |
Total Medicare Payment Amount |
277280.07 |
Total Medicare Standardized Payment Amount |
302531.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4321 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
5756.26 |
Total Drug Medicare AllowedAmount |
1468 |
Total Drug Medicare PaymentAmount |
1127.27 |
Total Drug Medicare Standardized Payment Amount |
1127.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
202 |
Number Of Medical Services |
6855 |
Number Of Medicare Beneficiaries With Medical Services |
3920 |
Total Medical Submitted Charge Amount |
1218937 |
Total Medical Medicare Allowed Amount |
357474.39 |
Total Medical Medicare Payment Amount |
276152.8 |
Total Medical Medicare Standardized Payment Amount |
301403.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
414 |
Number Of Beneficiaries Age 65 to 74 |
1525 |
Number Of Beneficiaries Age 75 to 84 |
1269 |
Number Of Beneficiaries Age Greater 84 |
712 |
Number Of Female Beneficiaries |
2466 |
Number Of Male Beneficiaries |
1454 |
Number Of Non Hispanic White Beneficiaries |
3777 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
3309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
611 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3113 |