National Provider Identifier [NPI]: |
1043215635 |
Last Name Of The Provider |
SUTTON |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1890 LPGA BLVD |
Street Address 2 Of The Provider |
STE 250 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321177131 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
1915 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
1200872 |
Total Medicare Allowed Amount |
371502.47 |
Total Medicare Payment Amount |
286144.84 |
Total Medicare Standardized Payment Amount |
301160.79 |
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 |
142 |
Number Of Medical Services |
1915 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
1200872 |
Total Medical Medicare Allowed Amount |
371502.47 |
Total Medical Medicare Payment Amount |
286144.84 |
Total Medical Medicare Standardized Payment Amount |
301160.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
721 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
678 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1666 |