National Provider Identifier [NPI]: |
1033157888 |
Last Name Of The Provider |
ZWICK |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1218 S BROADWAY |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405042759 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
199 |
Number Of Services |
8161 |
Number Of Medicare Beneficiaries |
5173 |
Total Submitted Charge Amount |
614811 |
Total Medicare Allowed Amount |
196517.62 |
Total Medicare Payment Amount |
148387.27 |
Total Medicare Standardized Payment Amount |
157692.44 |
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 |
199 |
Number Of Medical Services |
8161 |
Number Of Medicare Beneficiaries With Medical Services |
5173 |
Total Medical Submitted Charge Amount |
614811 |
Total Medical Medicare Allowed Amount |
196517.62 |
Total Medical Medicare Payment Amount |
148387.27 |
Total Medical Medicare Standardized Payment Amount |
157692.44 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1407 |
Number Of Beneficiaries Age 65 to 74 |
1807 |
Number Of Beneficiaries Age 75 to 84 |
1316 |
Number Of Beneficiaries Age Greater 84 |
643 |
Number Of Female Beneficiaries |
3329 |
Number Of Male Beneficiaries |
1844 |
Number Of Non Hispanic White Beneficiaries |
4861 |
Number Of Black or African American Beneficiaries |
243 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
3091 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2082 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5819 |