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 |