National Provider Identifier [NPI]: |
1689676231 |
Last Name Of The Provider |
SCOLES |
First Name Of The Provider |
LYNDELL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1605 E BROADWAY |
Street Address 2 Of The Provider |
STE 280 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652018023 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4134 |
Number Of Medicare Beneficiaries |
1007 |
Total Submitted Charge Amount |
356128 |
Total Medicare Allowed Amount |
268569.64 |
Total Medicare Payment Amount |
182846.75 |
Total Medicare Standardized Payment Amount |
198159.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
383 |
Number Of Medicare Beneficiaries With Drug Services |
309 |
Total Drug Submitted ChargeAmount |
14798 |
Total Drug Medicare AllowedAmount |
13680.23 |
Total Drug Medicare PaymentAmount |
13336.57 |
Total Drug Medicare Standardized Payment Amount |
13336.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3751 |
Number Of Medicare Beneficiaries With Medical Services |
1007 |
Total Medical Submitted Charge Amount |
341330 |
Total Medical Medicare Allowed Amount |
254889.41 |
Total Medical Medicare Payment Amount |
169510.18 |
Total Medical Medicare Standardized Payment Amount |
184822.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
436 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
578 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9674 |