National Provider Identifier [NPI]: |
1790718740 |
Last Name Of The Provider |
BATEMAN |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23410 CIVIC CENTER WAY |
Street Address 2 Of The Provider |
STE E-8 |
City Of The Provider |
MALIBU |
Zip Code Of The Provider |
902655909 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
3356 |
Number Of Medicare Beneficiaries |
357 |
Total Submitted Charge Amount |
638357.11 |
Total Medicare Allowed Amount |
196642.74 |
Total Medicare Payment Amount |
145539.24 |
Total Medicare Standardized Payment Amount |
136294.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
862 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
44656.76 |
Total Drug Medicare AllowedAmount |
9512.29 |
Total Drug Medicare PaymentAmount |
7895.54 |
Total Drug Medicare Standardized Payment Amount |
7895.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
2494 |
Number Of Medicare Beneficiaries With Medical Services |
357 |
Total Medical Submitted Charge Amount |
593700.35 |
Total Medical Medicare Allowed Amount |
187130.45 |
Total Medical Medicare Payment Amount |
137643.7 |
Total Medical Medicare Standardized Payment Amount |
128398.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
329 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9998 |