Medicare Facts for Dr. Scott A. Middleton, DMD


National Provider Identifier [NPI]: 1497742621
Last Name Of The Provider MIDDLETON
First Name Of The Provider SCOTT
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 731 N BEACH BLVD
Street Address 2 Of The Provider
City Of The Provider LA HABRA
Zip Code Of The Provider 906313657
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 111
Number Of Services 3305
Number Of Medicare Beneficiaries 397
Total Submitted Charge Amount 309826
Total Medicare Allowed Amount 208574.46
Total Medicare Payment Amount 145840.43
Total Medicare Standardized Payment Amount 132507.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 21
Number Of Drug Services 659
Number Of Medicare Beneficiaries With Drug Services 246
Total Drug Submitted ChargeAmount 26799
Total Drug Medicare AllowedAmount 11725.36
Total Drug Medicare PaymentAmount 10207.77
Total Drug Medicare Standardized Payment Amount 10207.77
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 90
Number Of Medical Services 2646
Number Of Medicare Beneficiaries With Medical Services 397
Total Medical Submitted Charge Amount 283027
Total Medical Medicare Allowed Amount 196849.1
Total Medical Medicare Payment Amount 135632.66
Total Medical Medicare Standardized Payment Amount 122299.75
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 27
Number Of Beneficiaries Age 65 to 74 194
Number Of Beneficiaries Age 75 to 84 105
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 221
Number Of Male Beneficiaries 176
Number Of Non Hispanic White Beneficiaries 314
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 65
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 357
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 16
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.0975

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