Medicare Facts for Dr. Scott A. Simms, MD


National Provider Identifier [NPI]: 1235123449
Last Name Of The Provider SIMMS
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 700 W OAK ST
Street Address 2 Of The Provider
City Of The Provider DENTON
Zip Code Of The Provider 762014035
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 1866
Number Of Medicare Beneficiaries 456
Total Submitted Charge Amount 220201.5
Total Medicare Allowed Amount 107106.34
Total Medicare Payment Amount 70907.26
Total Medicare Standardized Payment Amount 76273.24
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 167
Number Of Medicare Beneficiaries With Drug Services 120
Total Drug Submitted ChargeAmount 6569.5
Total Drug Medicare AllowedAmount 2364.73
Total Drug Medicare PaymentAmount 2165.01
Total Drug Medicare Standardized Payment Amount 2165.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 1699
Number Of Medicare Beneficiaries With Medical Services 456
Total Medical Submitted Charge Amount 213632
Total Medical Medicare Allowed Amount 104741.61
Total Medical Medicare Payment Amount 68742.25
Total Medical Medicare Standardized Payment Amount 74108.23
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 233
Number Of Beneficiaries Age 75 to 84 139
Number Of Beneficiaries Age Greater 84 67
Number Of Female Beneficiaries 248
Number Of Male Beneficiaries 208
Number Of Non Hispanic White Beneficiaries 437
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 430
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 8
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8927

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