National Provider Identifier [NPI]: |
1417905332 |
Last Name Of The Provider |
WATKINS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1413 N ELM ST |
Street Address 2 Of The Provider |
STE 106 |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
424202768 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
5276 |
Number Of Medicare Beneficiaries |
1355 |
Total Submitted Charge Amount |
427419.48 |
Total Medicare Allowed Amount |
224707.16 |
Total Medicare Payment Amount |
160186.11 |
Total Medicare Standardized Payment Amount |
171680.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
803 |
Number Of Medicare Beneficiaries With Drug Services |
311 |
Total Drug Submitted ChargeAmount |
21694 |
Total Drug Medicare AllowedAmount |
11694.44 |
Total Drug Medicare PaymentAmount |
11103.71 |
Total Drug Medicare Standardized Payment Amount |
11103.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4473 |
Number Of Medicare Beneficiaries With Medical Services |
1355 |
Total Medical Submitted Charge Amount |
405725.48 |
Total Medical Medicare Allowed Amount |
213012.72 |
Total Medical Medicare Payment Amount |
149082.4 |
Total Medical Medicare Standardized Payment Amount |
160576.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
539 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
765 |
Number Of Male Beneficiaries |
590 |
Number Of Non Hispanic White Beneficiaries |
1248 |
Number Of Black or African American Beneficiaries |
91 |
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 |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
373 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3734 |