Medicare Facts for Dr. Marvin W. Sexton, MD


National Provider Identifier [NPI]: 1659365138
Last Name Of The Provider SEXTON
First Name Of The Provider MARVIN
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4300 W MAIN ST
Street Address 2 Of The Provider SUITE 102
City Of The Provider DOTHAN
Zip Code Of The Provider 363051054
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 5006
Number Of Medicare Beneficiaries 1738
Total Submitted Charge Amount 1170966
Total Medicare Allowed Amount 437803.13
Total Medicare Payment Amount 323041.04
Total Medicare Standardized Payment Amount 357588.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 59
Number Of Medicare Beneficiaries With Drug Services 54
Total Drug Submitted ChargeAmount 3585
Total Drug Medicare AllowedAmount 2708.85
Total Drug Medicare PaymentAmount 2489.08
Total Drug Medicare Standardized Payment Amount 2489.08
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 4947
Number Of Medicare Beneficiaries With Medical Services 1738
Total Medical Submitted Charge Amount 1167381
Total Medical Medicare Allowed Amount 435094.28
Total Medical Medicare Payment Amount 320551.96
Total Medical Medicare Standardized Payment Amount 355099.44
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 400
Number Of Beneficiaries Age 65 to 74 753
Number Of Beneficiaries Age 75 to 84 479
Number Of Beneficiaries Age Greater 84 106
Number Of Female Beneficiaries 919
Number Of Male Beneficiaries 819
Number Of Non Hispanic White Beneficiaries 1422
Number Of Black or African American Beneficiaries 297
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1318
Number Of Beneficiaries With Medicare Medicaid Entitlement 420
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 21
Percent Of With Cancer 13
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 42
Percent Of With Depression 29
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5791

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