| National Provider Identifier [NPI]: | 1306023114 |
| Last Name Of The Provider | SMETANICK |
| First Name Of The Provider | MATTHEW |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3010 WILLIAMS DR |
| Street Address 2 Of The Provider | SUITE 177 |
| City Of The Provider | GEORGETOWN |
| Zip Code Of The Provider | 786282764 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 53 |
| Number Of Services | 9471 |
| Number Of Medicare Beneficiaries | 1538 |
| Total Submitted Charge Amount | 969937.25 |
| Total Medicare Allowed Amount | 555296.86 |
| Total Medicare Payment Amount | 400878.14 |
| Total Medicare Standardized Payment Amount | 422127.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 31 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 178.25 |
| Total Drug Medicare AllowedAmount | 55.4 |
| Total Drug Medicare PaymentAmount | 40.58 |
| Total Drug Medicare Standardized Payment Amount | 40.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 52 |
| Number Of Medical Services | 9440 |
| Number Of Medicare Beneficiaries With Medical Services | 1538 |
| Total Medical Submitted Charge Amount | 969759 |
| Total Medical Medicare Allowed Amount | 555241.46 |
| Total Medical Medicare Payment Amount | 400837.56 |
| Total Medical Medicare Standardized Payment Amount | 422086.91 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 81 |
| Number Of Beneficiaries Age 65 to 74 | 729 |
| Number Of Beneficiaries Age 75 to 84 | 531 |
| Number Of Beneficiaries Age Greater 84 | 197 |
| Number Of Female Beneficiaries | 658 |
| Number Of Male Beneficiaries | 880 |
| Number Of Non Hispanic White Beneficiaries | 1491 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1416 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 122 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 17 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9978 |