National Provider Identifier [NPI]: |
1447252523 |
Last Name Of The Provider |
SUTTON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
915 W MONROE ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322041177 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
11343 |
Number Of Medicare Beneficiaries |
1563 |
Total Submitted Charge Amount |
1029621.24 |
Total Medicare Allowed Amount |
653367.76 |
Total Medicare Payment Amount |
497572.25 |
Total Medicare Standardized Payment Amount |
504579.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1277 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
41980 |
Total Drug Medicare AllowedAmount |
21395.71 |
Total Drug Medicare PaymentAmount |
16673.86 |
Total Drug Medicare Standardized Payment Amount |
16673.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
10066 |
Number Of Medicare Beneficiaries With Medical Services |
1563 |
Total Medical Submitted Charge Amount |
987641.24 |
Total Medical Medicare Allowed Amount |
631972.05 |
Total Medical Medicare Payment Amount |
480898.39 |
Total Medical Medicare Standardized Payment Amount |
487905.94 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
704 |
Number Of Beneficiaries Age 75 to 84 |
478 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
901 |
Number Of Male Beneficiaries |
662 |
Number Of Non Hispanic White Beneficiaries |
1183 |
Number Of Black or African American Beneficiaries |
312 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9958 |