National Provider Identifier [NPI]: |
1013918812 |
Last Name Of The Provider |
MCWILLIAMS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
464 MAIN ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
PORT JEFFERSON |
Zip Code Of The Provider |
117772814 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
31027 |
Number Of Medicare Beneficiaries |
819 |
Total Submitted Charge Amount |
942251 |
Total Medicare Allowed Amount |
462986.84 |
Total Medicare Payment Amount |
357974.84 |
Total Medicare Standardized Payment Amount |
321102.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
27539 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
159506 |
Total Drug Medicare AllowedAmount |
137959.96 |
Total Drug Medicare PaymentAmount |
108160.61 |
Total Drug Medicare Standardized Payment Amount |
108160.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3488 |
Number Of Medicare Beneficiaries With Medical Services |
819 |
Total Medical Submitted Charge Amount |
782745 |
Total Medical Medicare Allowed Amount |
325026.88 |
Total Medical Medicare Payment Amount |
249814.23 |
Total Medical Medicare Standardized Payment Amount |
212942.38 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3809 |