Medicare Facts for Dr. Scott T. MacDonald, MD


National Provider Identifier [NPI]: 1518940006
Last Name Of The Provider MACDONALD
First Name Of The Provider SCOTT
Middle Initial Of The Provider T
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2825 J ST
Street Address 2 Of The Provider SUITE 300
City Of The Provider SACRAMENTO
Zip Code Of The Provider 958164300
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 26
Number Of Services 975
Number Of Medicare Beneficiaries 216
Total Submitted Charge Amount 116269
Total Medicare Allowed Amount 67983.64
Total Medicare Payment Amount 48849.48
Total Medicare Standardized Payment Amount 47199.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 167
Number Of Medicare Beneficiaries With Drug Services 83
Total Drug Submitted ChargeAmount 6013
Total Drug Medicare AllowedAmount 3235.92
Total Drug Medicare PaymentAmount 3109.7
Total Drug Medicare Standardized Payment Amount 3109.7
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 808
Number Of Medicare Beneficiaries With Medical Services 216
Total Medical Submitted Charge Amount 110256
Total Medical Medicare Allowed Amount 64747.72
Total Medical Medicare Payment Amount 45739.78
Total Medical Medicare Standardized Payment Amount 44089.7
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 101
Number Of Beneficiaries Age 75 to 84 68
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 127
Number Of Male Beneficiaries 89
Number Of Non Hispanic White Beneficiaries 150
Number Of Black or African American Beneficiaries 20
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 196
Number Of Beneficiaries With Medicare Medicaid Entitlement 20
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 6
Percent Of With Cancer 15
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 23
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 51
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0158

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