Medicare Facts for Dr. James D. Scarles, MD


National Provider Identifier [NPI]: 1194710269
Last Name Of The Provider SCARLES
First Name Of The Provider JAMES
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 SANDY HOLLOW RD
Street Address 2 Of The Provider
City Of The Provider MYSTIC
Zip Code Of The Provider 063551720
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 4813
Number Of Medicare Beneficiaries 662
Total Submitted Charge Amount 301576
Total Medicare Allowed Amount 223240.72
Total Medicare Payment Amount 179067.89
Total Medicare Standardized Payment Amount 170167.7
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 1438
Number Of Medicare Beneficiaries With Drug Services 295
Total Drug Submitted ChargeAmount 38744
Total Drug Medicare AllowedAmount 28195.35
Total Drug Medicare PaymentAmount 24447.28
Total Drug Medicare Standardized Payment Amount 24447.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 43
Number Of Medical Services 3375
Number Of Medicare Beneficiaries With Medical Services 662
Total Medical Submitted Charge Amount 262832
Total Medical Medicare Allowed Amount 195045.37
Total Medical Medicare Payment Amount 154620.61
Total Medical Medicare Standardized Payment Amount 145720.42
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 235
Number Of Beneficiaries Age 75 to 84 246
Number Of Beneficiaries Age Greater 84 158
Number Of Female Beneficiaries 312
Number Of Male Beneficiaries 350
Number Of Non Hispanic White Beneficiaries 624
Number Of Black or African American Beneficiaries 15
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 12
Number Of Beneficiaries With Medicare Only Entitlement 624
Number Of Beneficiaries With Medicare Medicaid Entitlement 38
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 12
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.025

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