National Provider Identifier [NPI]: |
1023112257 |
Last Name Of The Provider |
CARVER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 CLEVELAND RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARALAND |
Zip Code Of The Provider |
36571 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
4840 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
237893 |
Total Medicare Allowed Amount |
157081.38 |
Total Medicare Payment Amount |
112487.43 |
Total Medicare Standardized Payment Amount |
122936.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
823 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
8124 |
Total Drug Medicare AllowedAmount |
2082.29 |
Total Drug Medicare PaymentAmount |
1743.38 |
Total Drug Medicare Standardized Payment Amount |
1743.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
4017 |
Number Of Medicare Beneficiaries With Medical Services |
537 |
Total Medical Submitted Charge Amount |
229769 |
Total Medical Medicare Allowed Amount |
154999.09 |
Total Medical Medicare Payment Amount |
110744.05 |
Total Medical Medicare Standardized Payment Amount |
121193.36 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
398 |
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 |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.549 |