| National Provider Identifier [NPI]: | 1205829447 |
| Last Name Of The Provider | ROSS |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4085 TAMIAMI TRL N |
| Street Address 2 Of The Provider | STE B203 |
| City Of The Provider | NAPLES |
| Zip Code Of The Provider | 341038735 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 91 |
| Number Of Services | 25872 |
| Number Of Medicare Beneficiaries | 1546 |
| Total Submitted Charge Amount | 1815677.27 |
| Total Medicare Allowed Amount | 1802251.72 |
| Total Medicare Payment Amount | 1370775.05 |
| Total Medicare Standardized Payment Amount | 1258813.4 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 57 |
| Number Of Medicare Beneficiaries With Drug Services | 51 |
| Total Drug Submitted ChargeAmount | 14094.17 |
| Total Drug Medicare AllowedAmount | 13971.87 |
| Total Drug Medicare PaymentAmount | 10538.6 |
| Total Drug Medicare Standardized Payment Amount | 10538.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 90 |
| Number Of Medical Services | 25815 |
| Number Of Medicare Beneficiaries With Medical Services | 1546 |
| Total Medical Submitted Charge Amount | 1801583.1 |
| Total Medical Medicare Allowed Amount | 1788279.85 |
| Total Medical Medicare Payment Amount | 1360236.45 |
| Total Medical Medicare Standardized Payment Amount | 1248274.8 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | 482 |
| Number Of Beneficiaries Age 75 to 84 | 692 |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 691 |
| Number Of Male Beneficiaries | 855 |
| Number Of Non Hispanic White Beneficiaries | 1518 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 16 |
| Number Of Beneficiaries With Medicare Only Entitlement | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 9 |
| Percent Of With Depression | 9 |
| Percent Of With Diabetes | 19 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0512 |