James Michael Matheu

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NPI Number Detailed Information

Provider Information:

Name:	James Michael Matheu
Gender:	M
Provider License Number If Given:	036-088853

NPI Information:

NPI:	1154313906
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/18/2005
Last Update Date:	9/20/2018
Reputation Report:

Provider Business Mailing Address:

Address:	1830 MEDITERRANEAN DR Sycamore, IL 60178
Phone Number:	8153062700
Fax Number:

Provider Business Practice Location Address:

Address:	1830 MEDITERRANEAN DR Sycamore, IL 60178
Phone Number:	8153062700
Fax Number:

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):
State:	IL

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About James Michael Matheu

James Michael Matheu ( JAMES MICHAEL MATHEU ) is Family Family Medicine Physician in Sycamore, IL. The NPI Number for James Michael Matheu is 1154313906.

The current location address for James Michael Matheu is 1830 MEDITERRANEAN DR Sycamore, IL 60178 and the contact number is 8153062700 and fax number is . The mailing address for James Michael Matheu is 1830 MEDITERRANEAN DR Sycamore, IL 60178- 8153062700 (mailing address contact number - 8153062700).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for James Michael Matheu ?

Answer: The NPI Number for James Michael Matheu is 1154313906

Where is James Michael Matheu located?

Answer: James Michael Matheu is located at 1830 MEDITERRANEAN DR Sycamore, IL 60178.

What is the specialty for James Michael Matheu ?

Answer: The Specialty of James Michael Matheu is Family Family Medicine Physician.

Are there any online reviews for James Michael Matheu ?

Answer: Yes! Check It Now.

Are there any other health care providers in Sycamore, IL?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by James Michael Matheu

Number of HCPCS	29
Number of Medicare Beneficiaries	225
Number of Services	662
Total Submitted Charge Amount	81390.14
Total Medicare Allowed Amount	47454.24
Total Medicare Payment Amount	32915
Total Medicare Standardized Payment Amount	33744.15
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	6
Number of Medicare Beneficiaries With Drug Services	34
Number of Drug Services	43
Total Drug Submitted Charge Amount	4506
Total Drug Medicare Allowed Amount	2730.63
Total Drug Medicare Payment Amount	2728.13
Total Drug Medicare Standardized Payment Amount	2673.46
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	23
Number of Medicare Beneficiaries With Medical	225
Number of Medical Services	619
Total Medical Submitted Charge Amount	76884.14
Total Medical Medicare Allowed Amount	44723.61
Total Medical Medicare Payment Amount	30186.87
Total Medical Medicare Standardized Payment Amount	31070.69
Average Age of Beneficiaries	69
Number of Beneficiaries Age Less 65	43
Number of Beneficiaries Age 65 to 74	115
Number of Beneficiaries Age 75 to 84	46
Number of Beneficiaries Age Greater 84	21
Number of Female Beneficiaries	122
Number of Male Beneficiaries	103
Number of Non-Hispanic White Beneficiaries	189
Number of Black or African American Beneficiaries	11
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	14
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	53
Number of Beneficiaries With Medicare Only Entitlement	172
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.05
Percent (%) of Beneficiaries Identified With Asthma	0.05
Percent (%) of Beneficiaries Identified With Cancer	0.08
Percent (%) of Beneficiaries Identified With Heart Failure	0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.09
Percent (%) of Beneficiaries Identified With Depression	0.2
Percent (%) of Beneficiaries Identified With Diabetes	0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.47
Percent (%) of Beneficiaries Identified With Hypertension	0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.2
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.9998

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	2829
Number of Standardized 30-Day Fills	5879.7333333
Aggregate Cost Paid for All Claims	222867.87
Number of Day's Supply for All Claims	168657
Number of Medicare Beneficiaries	303
Number of Claims, Including Refills, for Beneficiaries Age 65+	2111
Including Refills, for Beneficiaries Age 65+	4627.2333333
Beneficiaries Age 65+	179941.53
Number of Day's Supply for All Claims for Beneficaries Age 65+	133016
Number of Medicare Beneficiaries Age 65+	242
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	405
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2390
Aggregate Cost Paid for Generic Drugs	44934.59
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	34
Aggregate Cost Paid for Other Drugs	1514.89
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1365
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	105461.83
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	1464
Aggregate Cost Paid for Claims Filled by	117406.04
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1073
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	100917.69
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1756
by Low-Income Subsidy	121950.18
Total Claims of Opioid Drugs, Including	53
Aggregate Cost Paid for Opioid Drugs	569.43
Opioid Claims	19
Opioid_Tot_Clms divided by the Tot_Clms	1.8734535171
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	86
Aggregate Cost Paid for Antibiotic Drugs	1267.42
Antibiotic Claims	69
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	69.290429043
Number of Beneficiaries Age Less Than 65	61
Number of Beneficiaries Age 65 to 74	145
Number of Beneficiaries Age 75 to 84	74
Number of Female Beneficiaries	183
Number of Male Beneficiaries	120
Number of Non-Hispanic White	256
Number of Black or African American	17
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	19
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	224
Average Hierarchical Condition Category	1.0170520632

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