National Provider Identifier [NPI]: |
1790751469 |
Last Name Of The Provider |
SCOTT |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
216 OXFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW ALBANY |
Zip Code Of The Provider |
386523115 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
8978 |
Number Of Medicare Beneficiaries |
802 |
Total Submitted Charge Amount |
485768 |
Total Medicare Allowed Amount |
211734.68 |
Total Medicare Payment Amount |
151935.89 |
Total Medicare Standardized Payment Amount |
167545.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
3201 |
Number Of Medicare Beneficiaries With Drug Services |
368 |
Total Drug Submitted ChargeAmount |
70865 |
Total Drug Medicare AllowedAmount |
23354.97 |
Total Drug Medicare PaymentAmount |
18640.94 |
Total Drug Medicare Standardized Payment Amount |
18640.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
5777 |
Number Of Medicare Beneficiaries With Medical Services |
799 |
Total Medical Submitted Charge Amount |
414903 |
Total Medical Medicare Allowed Amount |
188379.71 |
Total Medical Medicare Payment Amount |
133294.95 |
Total Medical Medicare Standardized Payment Amount |
148904.35 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
718 |
Number Of Black or African American Beneficiaries |
|
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 |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
286 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1002 |