National Provider Identifier [NPI]: |
1457699928 |
Last Name Of The Provider |
SCOTT |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 SOUTHWOOD DR |
Street Address 2 Of The Provider |
DH - ORTHOPAEDICS |
City Of The Provider |
NASHUA |
Zip Code Of The Provider |
030631818 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1255 |
Number Of Medicare Beneficiaries |
138 |
Total Submitted Charge Amount |
146722.61 |
Total Medicare Allowed Amount |
31388.15 |
Total Medicare Payment Amount |
23469.85 |
Total Medicare Standardized Payment Amount |
25076.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1008 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
41074.75 |
Total Drug Medicare AllowedAmount |
12016.29 |
Total Drug Medicare PaymentAmount |
8457.95 |
Total Drug Medicare Standardized Payment Amount |
8457.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
247 |
Number Of Medicare Beneficiaries With Medical Services |
138 |
Total Medical Submitted Charge Amount |
105647.86 |
Total Medical Medicare Allowed Amount |
19371.86 |
Total Medical Medicare Payment Amount |
15011.9 |
Total Medical Medicare Standardized Payment Amount |
16618.74 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
64 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
93 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
121 |
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 |
113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.023 |