| National Provider Identifier [NPI]: | 1396748778 |
| Last Name Of The Provider | GUENTHNER |
| First Name Of The Provider | SCOTT |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1100 SOUTHFIELD DR |
| Street Address 2 Of The Provider | STE 1240 |
| City Of The Provider | PLAINFIELD |
| Zip Code Of The Provider | 461684499 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 100 |
| Number Of Services | 21046 |
| Number Of Medicare Beneficiaries | 2777 |
| Total Submitted Charge Amount | 2838065 |
| Total Medicare Allowed Amount | 1088815.37 |
| Total Medicare Payment Amount | 782550.13 |
| Total Medicare Standardized Payment Amount | 826762.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 3959 |
| Number Of Medicare Beneficiaries With Drug Services | 473 |
| Total Drug Submitted ChargeAmount | 117210 |
| Total Drug Medicare AllowedAmount | 34630.23 |
| Total Drug Medicare PaymentAmount | 26117.01 |
| Total Drug Medicare Standardized Payment Amount | 26117.01 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 98 |
| Number Of Medical Services | 17087 |
| Number Of Medicare Beneficiaries With Medical Services | 2777 |
| Total Medical Submitted Charge Amount | 2720855 |
| Total Medical Medicare Allowed Amount | 1054185.14 |
| Total Medical Medicare Payment Amount | 756433.12 |
| Total Medical Medicare Standardized Payment Amount | 800645.95 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 161 |
| Number Of Beneficiaries Age 65 to 74 | 1489 |
| Number Of Beneficiaries Age 75 to 84 | 846 |
| Number Of Beneficiaries Age Greater 84 | 281 |
| Number Of Female Beneficiaries | 1389 |
| Number Of Male Beneficiaries | 1388 |
| Number Of Non Hispanic White Beneficiaries | 2712 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 12 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2630 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 147 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 14 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.8928 |