National Provider Identifier [NPI]: |
1619964913 |
Last Name Of The Provider |
WESTFALL |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
621 S NEW BALLAS RD |
Street Address 2 Of The Provider |
SUITE 7011B |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631418232 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
2587 |
Number Of Medicare Beneficiaries |
1267 |
Total Submitted Charge Amount |
1026516 |
Total Medicare Allowed Amount |
327951.55 |
Total Medicare Payment Amount |
251080.08 |
Total Medicare Standardized Payment Amount |
251940.47 |
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 |
178 |
Number Of Medical Services |
2587 |
Number Of Medicare Beneficiaries With Medical Services |
1267 |
Total Medical Submitted Charge Amount |
1026516 |
Total Medical Medicare Allowed Amount |
327951.55 |
Total Medical Medicare Payment Amount |
251080.08 |
Total Medical Medicare Standardized Payment Amount |
251940.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
659 |
Number Of Male Beneficiaries |
608 |
Number Of Non Hispanic White Beneficiaries |
1069 |
Number Of Black or African American Beneficiaries |
168 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.5382 |