National Provider Identifier [NPI]: |
1922084458 |
Last Name Of The Provider |
JAMES |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10 CORDAGE PARK CIR |
Street Address 2 Of The Provider |
SUITE 227 |
City Of The Provider |
PLYMOUTH |
Zip Code Of The Provider |
023607318 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
3071 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
800980 |
Total Medicare Allowed Amount |
353171.9 |
Total Medicare Payment Amount |
266662.46 |
Total Medicare Standardized Payment Amount |
273681.76 |
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 |
158 |
Number Of Medical Services |
3071 |
Number Of Medicare Beneficiaries With Medical Services |
1024 |
Total Medical Submitted Charge Amount |
800980 |
Total Medical Medicare Allowed Amount |
353171.9 |
Total Medical Medicare Payment Amount |
266662.46 |
Total Medical Medicare Standardized Payment Amount |
273681.76 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
982 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
853 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.709 |