National Provider Identifier [NPI]: |
1578547147 |
Last Name Of The Provider |
MATEI |
First Name Of The Provider |
MIHAELA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2312 N NEVADA AVE STE 400 |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809075320 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
81662 |
Number Of Medicare Beneficiaries |
968 |
Total Submitted Charge Amount |
4952670 |
Total Medicare Allowed Amount |
1422541.76 |
Total Medicare Payment Amount |
1101983.42 |
Total Medicare Standardized Payment Amount |
1100475.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
77 |
Number Of Drug Services |
74140 |
Number Of Medicare Beneficiaries With Drug Services |
375 |
Total Drug Submitted ChargeAmount |
3782612 |
Total Drug Medicare AllowedAmount |
1057948.48 |
Total Drug Medicare PaymentAmount |
816082.49 |
Total Drug Medicare Standardized Payment Amount |
816082.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
7522 |
Number Of Medicare Beneficiaries With Medical Services |
968 |
Total Medical Submitted Charge Amount |
1170058 |
Total Medical Medicare Allowed Amount |
364593.28 |
Total Medical Medicare Payment Amount |
285900.93 |
Total Medical Medicare Standardized Payment Amount |
284392.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.714 |