National Provider Identifier [NPI]: |
1356346852 |
Last Name Of The Provider |
SIMS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
273 WINTON M BLOUNT LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
361173507 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
11272 |
Number Of Medicare Beneficiaries |
2231 |
Total Submitted Charge Amount |
1654035.7 |
Total Medicare Allowed Amount |
1006291.78 |
Total Medicare Payment Amount |
745883.52 |
Total Medicare Standardized Payment Amount |
829750.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1157 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
82242.7 |
Total Drug Medicare AllowedAmount |
61001.78 |
Total Drug Medicare PaymentAmount |
46059.89 |
Total Drug Medicare Standardized Payment Amount |
46059.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
10115 |
Number Of Medicare Beneficiaries With Medical Services |
2231 |
Total Medical Submitted Charge Amount |
1571793 |
Total Medical Medicare Allowed Amount |
945290 |
Total Medical Medicare Payment Amount |
699823.63 |
Total Medical Medicare Standardized Payment Amount |
783690.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
343 |
Number Of Beneficiaries Age 65 to 74 |
842 |
Number Of Beneficiaries Age 75 to 84 |
718 |
Number Of Beneficiaries Age Greater 84 |
328 |
Number Of Female Beneficiaries |
1208 |
Number Of Male Beneficiaries |
1023 |
Number Of Non Hispanic White Beneficiaries |
1580 |
Number Of Black or African American Beneficiaries |
624 |
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 |
1871 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
360 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5605 |