Medicare Facts for Dr. Scott A. Segel, MD


National Provider Identifier [NPI]: 1063416535
Last Name Of The Provider SEGEL
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 915 W MONROE ST
Street Address 2 Of The Provider STE 200
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322041177
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 12189
Number Of Medicare Beneficiaries 932
Total Submitted Charge Amount 762515.53
Total Medicare Allowed Amount 445792.01
Total Medicare Payment Amount 351373.42
Total Medicare Standardized Payment Amount 352460.57
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 2760
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 82800
Total Drug Medicare AllowedAmount 39655.5
Total Drug Medicare PaymentAmount 31083.76
Total Drug Medicare Standardized Payment Amount 31083.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 78
Number Of Medical Services 9429
Number Of Medicare Beneficiaries With Medical Services 932
Total Medical Submitted Charge Amount 679715.53
Total Medical Medicare Allowed Amount 406136.51
Total Medical Medicare Payment Amount 320289.66
Total Medical Medicare Standardized Payment Amount 321376.81
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 188
Number Of Beneficiaries Age 65 to 74 405
Number Of Beneficiaries Age 75 to 84 255
Number Of Beneficiaries Age Greater 84 84
Number Of Female Beneficiaries 543
Number Of Male Beneficiaries 389
Number Of Non Hispanic White Beneficiaries 709
Number Of Black or African American Beneficiaries 160
Number Of AsianPacific Islander Beneficiaries 25
Number Of Hispanic Beneficiaries 25
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 721
Number Of Beneficiaries With Medicare Medicaid Entitlement 211
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 14
Percent Of With Cancer 12
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 50
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 30
Percent Of With Diabetes 75
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.2591

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