National Provider Identifier [NPI]: |
1558453670 |
Last Name Of The Provider |
SILVIA |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6955 N. MESA |
Street Address 2 Of The Provider |
STE 108 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
79912 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3016 |
Number Of Medicare Beneficiaries |
882 |
Total Submitted Charge Amount |
169821.03 |
Total Medicare Allowed Amount |
114607.7 |
Total Medicare Payment Amount |
88054.98 |
Total Medicare Standardized Payment Amount |
93592.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
947 |
Number Of Medicare Beneficiaries With Drug Services |
770 |
Total Drug Submitted ChargeAmount |
28853.03 |
Total Drug Medicare AllowedAmount |
16846.06 |
Total Drug Medicare PaymentAmount |
16396.62 |
Total Drug Medicare Standardized Payment Amount |
16396.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2069 |
Number Of Medicare Beneficiaries With Medical Services |
877 |
Total Medical Submitted Charge Amount |
140968 |
Total Medical Medicare Allowed Amount |
97761.64 |
Total Medical Medicare Payment Amount |
71658.36 |
Total Medical Medicare Standardized Payment Amount |
77195.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
496 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
356 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
487 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9942 |