Medicare Facts for Dr. Kristen J. Scully, MD


National Provider Identifier [NPI]: 1982937165
Last Name Of The Provider SCULLY
First Name Of The Provider KRISTEN
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 251 E HURON ST
Street Address 2 Of The Provider
City Of The Provider CHICAGO
Zip Code Of The Provider 606112908
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 18
Number Of Services 480
Number Of Medicare Beneficiaries 295
Total Submitted Charge Amount 178575
Total Medicare Allowed Amount 59459.28
Total Medicare Payment Amount 44696.46
Total Medicare Standardized Payment Amount 43864.24
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 480
Number Of Medicare Beneficiaries With Medical Services 295
Total Medical Submitted Charge Amount 178575
Total Medical Medicare Allowed Amount 59459.28
Total Medical Medicare Payment Amount 44696.46
Total Medical Medicare Standardized Payment Amount 43864.24
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 72
Number Of Beneficiaries Age 65 to 74 97
Number Of Beneficiaries Age 75 to 84 61
Number Of Beneficiaries Age Greater 84 65
Number Of Female Beneficiaries 154
Number Of Male Beneficiaries 141
Number Of Non Hispanic White Beneficiaries 235
Number Of Black or African American Beneficiaries 39
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 175
Number Of Beneficiaries With Medicare Medicaid Entitlement 120
Percent Of With Atrial Fibrillation 26
Percent Of With Alzheimers Disease or Dementia 23
Percent Of With Asthma 14
Percent Of With Cancer 17
Percent Of With Heart Failure 46
Percent Of With Chronic Kidney Disease 56
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 47
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 14
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.3221

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