National Provider Identifier [NPI]: |
1265437925 |
Last Name Of The Provider |
SCOTT |
First Name Of The Provider |
CRANFORD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
233 N PRAIRIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
INGLEWOOD |
Zip Code Of The Provider |
903011412 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
4944 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
761264 |
Total Medicare Allowed Amount |
467319.85 |
Total Medicare Payment Amount |
345920.4 |
Total Medicare Standardized Payment Amount |
323201.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
1519 |
Total Drug Medicare AllowedAmount |
705.71 |
Total Drug Medicare PaymentAmount |
675.81 |
Total Drug Medicare Standardized Payment Amount |
675.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4894 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
759745 |
Total Medical Medicare Allowed Amount |
466614.14 |
Total Medical Medicare Payment Amount |
345244.59 |
Total Medical Medicare Standardized Payment Amount |
322526.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
366 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7645 |