National Provider Identifier [NPI]: |
1528282563 |
Last Name Of The Provider |
WHITMORE |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1920 SAINT ANDREWS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEAL BEACH |
Zip Code Of The Provider |
907405503 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
6641 |
Number Of Medicare Beneficiaries |
2541 |
Total Submitted Charge Amount |
353031 |
Total Medicare Allowed Amount |
286886.29 |
Total Medicare Payment Amount |
221145.15 |
Total Medicare Standardized Payment Amount |
211452.2 |
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 |
8 |
Number Of Medical Services |
6641 |
Number Of Medicare Beneficiaries With Medical Services |
2541 |
Total Medical Submitted Charge Amount |
353031 |
Total Medical Medicare Allowed Amount |
286886.29 |
Total Medical Medicare Payment Amount |
221145.15 |
Total Medical Medicare Standardized Payment Amount |
211452.2 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
731 |
Number Of Beneficiaries Age Greater 84 |
1172 |
Number Of Female Beneficiaries |
1664 |
Number Of Male Beneficiaries |
877 |
Number Of Non Hispanic White Beneficiaries |
1777 |
Number Of Black or African American Beneficiaries |
192 |
Number Of AsianPacific Islander Beneficiaries |
122 |
Number Of Hispanic Beneficiaries |
396 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1179 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1362 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
61 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.4663 |