National Provider Identifier [NPI]: |
1932180254 |
Last Name Of The Provider |
MCMARTIN |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8333 N DAVIS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325146050 |
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 |
47 |
Number Of Services |
25321 |
Number Of Medicare Beneficiaries |
2207 |
Total Submitted Charge Amount |
2359977.92 |
Total Medicare Allowed Amount |
1166015.74 |
Total Medicare Payment Amount |
851104.34 |
Total Medicare Standardized Payment Amount |
859770.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4019 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
16076 |
Total Drug Medicare AllowedAmount |
7165.92 |
Total Drug Medicare PaymentAmount |
5151.4 |
Total Drug Medicare Standardized Payment Amount |
5151.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
21302 |
Number Of Medicare Beneficiaries With Medical Services |
2207 |
Total Medical Submitted Charge Amount |
2343901.92 |
Total Medical Medicare Allowed Amount |
1158849.82 |
Total Medical Medicare Payment Amount |
845952.94 |
Total Medical Medicare Standardized Payment Amount |
854619.15 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
1055 |
Number Of Beneficiaries Age 75 to 84 |
780 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
1026 |
Number Of Male Beneficiaries |
1181 |
Number Of Non Hispanic White Beneficiaries |
2100 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0209 |