National Provider Identifier [NPI]: |
1316926421 |
Last Name Of The Provider |
MATHEWS |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14533 CORTEZ BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346136065 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
27651 |
Number Of Medicare Beneficiaries |
1555 |
Total Submitted Charge Amount |
2552480.04 |
Total Medicare Allowed Amount |
1334945.45 |
Total Medicare Payment Amount |
1025800.11 |
Total Medicare Standardized Payment Amount |
1031955.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
18754 |
Number Of Medicare Beneficiaries With Drug Services |
320 |
Total Drug Submitted ChargeAmount |
103059.04 |
Total Drug Medicare AllowedAmount |
42692.02 |
Total Drug Medicare PaymentAmount |
33470.44 |
Total Drug Medicare Standardized Payment Amount |
33470.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
8897 |
Number Of Medicare Beneficiaries With Medical Services |
1555 |
Total Medical Submitted Charge Amount |
2449421 |
Total Medical Medicare Allowed Amount |
1292253.43 |
Total Medical Medicare Payment Amount |
992329.67 |
Total Medical Medicare Standardized Payment Amount |
998484.77 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
543 |
Number Of Beneficiaries Age 75 to 84 |
592 |
Number Of Beneficiaries Age Greater 84 |
305 |
Number Of Female Beneficiaries |
804 |
Number Of Male Beneficiaries |
751 |
Number Of Non Hispanic White Beneficiaries |
1428 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6048 |