Medicare Facts for Dr. Scott J. Paulman, MD


National Provider Identifier [NPI]: 1396851820
Last Name Of The Provider PAULMAN
First Name Of The Provider SCOTT
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1000 N OAK AVE
Street Address 2 Of The Provider
City Of The Provider MARSHFIELD
Zip Code Of The Provider 54449
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 8292
Number Of Medicare Beneficiaries 540
Total Submitted Charge Amount 5726734.1
Total Medicare Allowed Amount 2056912.95
Total Medicare Payment Amount 1583956.16
Total Medicare Standardized Payment Amount 1603567.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 1958
Number Of Medicare Beneficiaries With Drug Services 225
Total Drug Submitted ChargeAmount 2942728.2
Total Drug Medicare AllowedAmount 1531263.13
Total Drug Medicare PaymentAmount 1185184.56
Total Drug Medicare Standardized Payment Amount 1185184.56
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 6334
Number Of Medicare Beneficiaries With Medical Services 540
Total Medical Submitted Charge Amount 2784005.9
Total Medical Medicare Allowed Amount 525649.82
Total Medical Medicare Payment Amount 398771.6
Total Medical Medicare Standardized Payment Amount 418382.84
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 173
Number Of Beneficiaries Age 75 to 84 174
Number Of Beneficiaries Age Greater 84 135
Number Of Female Beneficiaries 304
Number Of Male Beneficiaries 236
Number Of Non Hispanic White Beneficiaries 517
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 417
Number Of Beneficiaries With Medicare Medicaid Entitlement 123
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 18
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.7394

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