Medicare Facts for Dr. Perry W. Sexton, MD


National Provider Identifier [NPI]: 1972665339
Last Name Of The Provider SEXTON
First Name Of The Provider PERRY
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 351 SANTA FE DR
Street Address 2 Of The Provider 101
City Of The Provider ENCINITAS
Zip Code Of The Provider 920245137
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 63
Number Of Services 2524
Number Of Medicare Beneficiaries 217
Total Submitted Charge Amount 296629.95
Total Medicare Allowed Amount 152861.86
Total Medicare Payment Amount 117329.21
Total Medicare Standardized Payment Amount 112443.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 18
Number Of Drug Services 478
Number Of Medicare Beneficiaries With Drug Services 70
Total Drug Submitted ChargeAmount 24483.75
Total Drug Medicare AllowedAmount 3893.54
Total Drug Medicare PaymentAmount 3628.98
Total Drug Medicare Standardized Payment Amount 3628.98
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 2046
Number Of Medicare Beneficiaries With Medical Services 217
Total Medical Submitted Charge Amount 272146.2
Total Medical Medicare Allowed Amount 148968.32
Total Medical Medicare Payment Amount 113700.23
Total Medical Medicare Standardized Payment Amount 108814.7
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 102
Number Of Beneficiaries Age 75 to 84 45
Number Of Beneficiaries Age Greater 84 27
Number Of Female Beneficiaries 107
Number Of Male Beneficiaries 110
Number Of Non Hispanic White Beneficiaries 198
Number Of Black or African American Beneficiaries
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 191
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 27
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1932

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