National Provider Identifier [NPI]: |
1275599219 |
Last Name Of The Provider |
MEADOWS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5215 N CALIFORNIA AVE |
Street Address 2 Of The Provider |
SUITE F803 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606257014 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
5285 |
Number Of Medicare Beneficiaries |
684 |
Total Submitted Charge Amount |
1101395 |
Total Medicare Allowed Amount |
307769.16 |
Total Medicare Payment Amount |
226738.31 |
Total Medicare Standardized Payment Amount |
215577.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1918 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
161430 |
Total Drug Medicare AllowedAmount |
67966.28 |
Total Drug Medicare PaymentAmount |
53193.86 |
Total Drug Medicare Standardized Payment Amount |
53193.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3367 |
Number Of Medicare Beneficiaries With Medical Services |
684 |
Total Medical Submitted Charge Amount |
939965 |
Total Medical Medicare Allowed Amount |
239802.88 |
Total Medical Medicare Payment Amount |
173544.45 |
Total Medical Medicare Standardized Payment Amount |
162383.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
537 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
67 |
Number Of Hispanic Beneficiaries |
111 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.342 |