National Provider Identifier [NPI]: |
1659467330 |
Last Name Of The Provider |
STOPPER |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
746 JEFFERSON AVE |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
SCRANTON |
Zip Code Of The Provider |
185101624 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
3899 |
Number Of Medicare Beneficiaries |
1530 |
Total Submitted Charge Amount |
629023.73 |
Total Medicare Allowed Amount |
269132.85 |
Total Medicare Payment Amount |
200518.24 |
Total Medicare Standardized Payment Amount |
207503.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
6960 |
Total Drug Medicare AllowedAmount |
6136.16 |
Total Drug Medicare PaymentAmount |
4810.7 |
Total Drug Medicare Standardized Payment Amount |
4810.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
3783 |
Number Of Medicare Beneficiaries With Medical Services |
1530 |
Total Medical Submitted Charge Amount |
622063.73 |
Total Medical Medicare Allowed Amount |
262996.69 |
Total Medical Medicare Payment Amount |
195707.54 |
Total Medical Medicare Standardized Payment Amount |
202693.16 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
545 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
790 |
Number Of Male Beneficiaries |
740 |
Number Of Non Hispanic White Beneficiaries |
1458 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
345 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7208 |