National Provider Identifier [NPI]: |
1508905373 |
Last Name Of The Provider |
CRAMPTON |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3003 HIGHWAY 95 STE 41 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BULLHEAD CITY |
Zip Code Of The Provider |
864427896 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
7747 |
Number Of Medicare Beneficiaries |
1469 |
Total Submitted Charge Amount |
675341 |
Total Medicare Allowed Amount |
367635.14 |
Total Medicare Payment Amount |
256778.65 |
Total Medicare Standardized Payment Amount |
260069.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2111 |
Number Of Medicare Beneficiaries With Drug Services |
244 |
Total Drug Submitted ChargeAmount |
16888 |
Total Drug Medicare AllowedAmount |
3759.72 |
Total Drug Medicare PaymentAmount |
2800.66 |
Total Drug Medicare Standardized Payment Amount |
2800.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5636 |
Number Of Medicare Beneficiaries With Medical Services |
1469 |
Total Medical Submitted Charge Amount |
658453 |
Total Medical Medicare Allowed Amount |
363875.42 |
Total Medical Medicare Payment Amount |
253977.99 |
Total Medical Medicare Standardized Payment Amount |
257268.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
617 |
Number Of Beneficiaries Age 75 to 84 |
532 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
812 |
Number Of Male Beneficiaries |
657 |
Number Of Non Hispanic White Beneficiaries |
1343 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4967 |