National Provider Identifier [NPI]: |
1649272899 |
Last Name Of The Provider |
SCOTT |
First Name Of The Provider |
MICHAELA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1460 36TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329604849 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
128810 |
Number Of Medicare Beneficiaries |
1124 |
Total Submitted Charge Amount |
4793659.1 |
Total Medicare Allowed Amount |
2001843.39 |
Total Medicare Payment Amount |
1554888.71 |
Total Medicare Standardized Payment Amount |
1534733.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
117617 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
3721143.7 |
Total Drug Medicare AllowedAmount |
1549397.29 |
Total Drug Medicare PaymentAmount |
1210060.33 |
Total Drug Medicare Standardized Payment Amount |
1210060.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
11193 |
Number Of Medicare Beneficiaries With Medical Services |
1124 |
Total Medical Submitted Charge Amount |
1072515.4 |
Total Medical Medicare Allowed Amount |
452446.1 |
Total Medical Medicare Payment Amount |
344828.38 |
Total Medical Medicare Standardized Payment Amount |
324672.77 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
440 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
907 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
1077 |
Number Of Black or African American Beneficiaries |
26 |
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 |
1079 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
57 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5724 |