National Provider Identifier [NPI]: |
1427031723 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4500 SAN PABLO RD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322241865 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
1942 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
214421.96 |
Total Medicare Allowed Amount |
166909.99 |
Total Medicare Payment Amount |
122360.47 |
Total Medicare Standardized Payment Amount |
121747.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
1826.64 |
Total Drug Medicare AllowedAmount |
1728.25 |
Total Drug Medicare PaymentAmount |
1172.13 |
Total Drug Medicare Standardized Payment Amount |
1172.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1770 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
212595.32 |
Total Medical Medicare Allowed Amount |
165181.74 |
Total Medical Medicare Payment Amount |
121188.34 |
Total Medical Medicare Standardized Payment Amount |
120575.27 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
651 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4297 |