National Provider Identifier [NPI]: |
1538131578 |
Last Name Of The Provider |
SCORTT |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7210 N MILBURN AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937220022 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
16127 |
Number Of Medicare Beneficiaries |
2440 |
Total Submitted Charge Amount |
1221283.25 |
Total Medicare Allowed Amount |
729202.54 |
Total Medicare Payment Amount |
525979.53 |
Total Medicare Standardized Payment Amount |
505439.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
16127 |
Number Of Medicare Beneficiaries With Medical Services |
2440 |
Total Medical Submitted Charge Amount |
1221283.25 |
Total Medical Medicare Allowed Amount |
729202.54 |
Total Medical Medicare Payment Amount |
525979.53 |
Total Medical Medicare Standardized Payment Amount |
505439.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
462 |
Number Of Beneficiaries Age 65 to 74 |
715 |
Number Of Beneficiaries Age 75 to 84 |
651 |
Number Of Beneficiaries Age Greater 84 |
612 |
Number Of Female Beneficiaries |
1463 |
Number Of Male Beneficiaries |
977 |
Number Of Non Hispanic White Beneficiaries |
1223 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
81 |
Number Of Hispanic Beneficiaries |
922 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
868 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1572 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7395 |