Medicare Facts for Dr. Scott A. Carstens, MD


National Provider Identifier [NPI]: 1073618831
Last Name Of The Provider CARSTENS
First Name Of The Provider SCOTT
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3811 VALLEY CENTRE DR
Street Address 2 Of The Provider
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921303318
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 2849
Number Of Medicare Beneficiaries 403
Total Submitted Charge Amount 253933.7
Total Medicare Allowed Amount 115082.78
Total Medicare Payment Amount 87089.61
Total Medicare Standardized Payment Amount 84106.88
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 1819
Number Of Medicare Beneficiaries With Drug Services 122
Total Drug Submitted ChargeAmount 64793.5
Total Drug Medicare AllowedAmount 24809.25
Total Drug Medicare PaymentAmount 19892.93
Total Drug Medicare Standardized Payment Amount 19892.93
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 24
Number Of Medical Services 1030
Number Of Medicare Beneficiaries With Medical Services 403
Total Medical Submitted Charge Amount 189140.2
Total Medical Medicare Allowed Amount 90273.53
Total Medical Medicare Payment Amount 67196.68
Total Medical Medicare Standardized Payment Amount 64213.95
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74 208
Number Of Beneficiaries Age 75 to 84 127
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 199
Number Of Male Beneficiaries 204
Number Of Non Hispanic White Beneficiaries 362
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 14
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 13
Number Of Beneficiaries With Medicare Only Entitlement 386
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 3
Percent Of With Cancer 10
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 5
Percent Of With Depression 12
Percent Of With Diabetes 16
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.8874

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