National Provider Identifier [NPI]: |
1255327557 |
Last Name Of The Provider |
HITCHCOCK |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
185 CHATEAU DR SW STE 301 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358017413 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
23578 |
Number Of Medicare Beneficiaries |
943 |
Total Submitted Charge Amount |
627618.5 |
Total Medicare Allowed Amount |
452606.05 |
Total Medicare Payment Amount |
333884.46 |
Total Medicare Standardized Payment Amount |
356662.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
19712 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
170509.5 |
Total Drug Medicare AllowedAmount |
125226.12 |
Total Drug Medicare PaymentAmount |
93278.21 |
Total Drug Medicare Standardized Payment Amount |
93278.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3866 |
Number Of Medicare Beneficiaries With Medical Services |
943 |
Total Medical Submitted Charge Amount |
457109 |
Total Medical Medicare Allowed Amount |
327379.93 |
Total Medical Medicare Payment Amount |
240606.25 |
Total Medical Medicare Standardized Payment Amount |
263384.3 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
579 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
93 |
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 |
802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.4914 |