Dr. Matthew James Baughman

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Matthew James Baughman
Gender:	M
Provider License Number If Given:	25547

NPI Information:

NPI:	1184611790
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/29/2005
Last Update Date:	11/10/2020
Reputation Report:

Provider Business Mailing Address:

Address:	1018 DUFF AVE Ames, IA 50010
Phone Number:	5156638621
Fax Number:	5156638620

Provider Business Practice Location Address:

Address:	1018 DUFF AVE Ames, IA 50010
Phone Number:	5156638621
Fax Number:	5156638620

Provider Taxonomy:

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

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About Dr. Matthew James Baughman

Dr. Matthew James Baughman (DR. MATTHEW JAMES BAUGHMAN ) is Family Family Medicine Physician in Ames, IA. The NPI Number for Dr. Matthew James Baughman is 1184611790.

The current location address for Dr. Matthew James Baughman is 1018 DUFF AVE Ames, IA 50010 and the contact number is 5156638621 and fax number is 5156638620. The mailing address for Dr. Matthew James Baughman is 1018 DUFF AVE Ames, IA 50010- 5156638621 (mailing address contact number - 5156638621).

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 Dr. Matthew James Baughman ?

Answer: The NPI Number for Dr. Matthew James Baughman is 1184611790

Where is Dr. Matthew James Baughman located?

Answer: Dr. Matthew James Baughman is located at 1018 DUFF AVE Ames, IA 50010.

What is the specialty for Dr. Matthew James Baughman ?

Answer: The Specialty of Dr. Matthew James Baughman is Family Family Medicine Physician.

Are there any online reviews for Dr. Matthew James Baughman ?

Answer: Yes! Check It Now.

Are there any other health care providers in Ames, IA?

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 Dr. Matthew James Baughman

Number of HCPCS	121
Number of Medicare Beneficiaries	544
Number of Services	7250
Total Submitted Charge Amount	461108.5
Total Medicare Allowed Amount	270029.52
Total Medicare Payment Amount	218265.51
Total Medicare Standardized Payment Amount	228249.29
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	10
Number of Medicare Beneficiaries With Drug Services	159
Number of Drug Services	201
Total Drug Submitted Charge Amount	13719
Total Drug Medicare Allowed Amount	12208
Total Drug Medicare Payment Amount	12155.94
Total Drug Medicare Standardized Payment Amount	11912.17
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	111
Number of Medicare Beneficiaries With Medical	544
Number of Medical Services	7049
Total Medical Submitted Charge Amount	447389.5
Total Medical Medicare Allowed Amount	257821.52
Total Medical Medicare Payment Amount	206109.57
Total Medical Medicare Standardized Payment Amount	216337.12
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	26
Number of Beneficiaries Age 65 to 74	260
Number of Beneficiaries Age 75 to 84	183
Number of Beneficiaries Age Greater 84	75
Number of Female Beneficiaries	256
Number of Male Beneficiaries	288
Number of Non-Hispanic White Beneficiaries	520
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	29
Number of Beneficiaries With Medicare Only Entitlement	515
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.02
Percent (%) of Beneficiaries Identified With Asthma	0.06
Percent (%) of Beneficiaries Identified With Cancer	0.09
Percent (%) of Beneficiaries Identified With Heart Failure	0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.07
Percent (%) of Beneficiaries Identified With Depression	0.17
Percent (%) of Beneficiaries Identified With Diabetes	0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.56
Percent (%) of Beneficiaries Identified With Hypertension	0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.27
Percent (%) of Beneficiaries Identified With Osteoporosis	0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.3
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0616

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	10189
Number of Standardized 30-Day Fills	20619.233333
Aggregate Cost Paid for All Claims	529330.76
Number of Day's Supply for All Claims	599299
Number of Medicare Beneficiaries	528
Number of Claims, Including Refills, for Beneficiaries Age 65+	8978
Including Refills, for Beneficiaries Age 65+	18776.266667
Beneficiaries Age 65+	436454.13
Number of Day's Supply for All Claims for Beneficaries Age 65+	546358
Number of Medicare Beneficiaries Age 65+	498
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1162
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	8988
Aggregate Cost Paid for Generic Drugs	183864.05
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	39
Aggregate Cost Paid for Other Drugs	1701.53
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2734
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	149793.32
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	7455
Aggregate Cost Paid for Claims Filled by	379537.44
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	2058
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	161720.06
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	8131
by Low-Income Subsidy	367610.7
Total Claims of Opioid Drugs, Including	444
Aggregate Cost Paid for Opioid Drugs	17902.14
Opioid Claims	73
Opioid_Tot_Clms divided by the Tot_Clms	4.3576405928
Total Claims of Long-Acting Opioid Drugs	56
Aggregate Cost Paid for Long-Acting Opioid	8414.64
Number of Day's Supply of All Long-Acting	1818
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	12.612612613
Total Claims of Antibiotic Drugs, Including	239
Aggregate Cost Paid for Antibiotic Drugs	4517.81
Antibiotic Claims	122
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	69
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	2963.93
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	74.551136364
Number of Beneficiaries Age Less Than 65	30
Number of Beneficiaries Age 65 to 74	241
Number of Beneficiaries Age 75 to 84	186
Number of Female Beneficiaries	254
Number of Male Beneficiaries	274
Number of Non-Hispanic White	508
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	13
Only Entitlement	478
Average Hierarchical Condition Category	1.1410267831

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