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Scott Middleton

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NPI Number Detailed Information

Provider Information:

Name: Scott Middleton
Gender: M
Provider License Number If Given: A40533

NPI Information:

NPI: 1497742621
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/3/2005

Last Update Date: 4/30/2013

Reputation Report:

Provider Business Mailing Address:

Address: 279 E. IMPERIAL HWY SUITE 730
Fullerton, CA 92835
Phone Number: 7144494841
Fax Number: 7144494956

Provider Business Practice Location Address:

Address: 731 N BEACH BLVD
La Habra, CA 90631
Phone Number: 5626976030
Fax Number: 5626976263

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: CA

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About Scott Middleton

Scott Middleton ( SCOTT MIDDLETON ) is Family Family Medicine Physician in La Habra, CA. The NPI Number for Scott Middleton is 1497742621.
The current location address for Scott Middleton is 731 N BEACH BLVD La Habra, CA 90631 and the contact number is 7144494841 and fax number is 7144494956. The mailing address for Scott Middleton is 279 E. IMPERIAL HWY SUITE 730 Fullerton, CA 92835- 5626976030 (mailing address contact number - 7144494841).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Scott Middleton ?


Answer: The NPI Number for Scott Middleton is 1497742621

Where is Scott Middleton located?


Answer: Scott Middleton is located at 731 N BEACH BLVD La Habra, CA 90631.

What is the specialty for Scott Middleton ?


Answer: The Specialty of Scott Middleton is Family Family Medicine Physician.

Are there any online reviews for Scott Middleton ?


Answer: Yes! Check It Now.

Are there any other health care providers in La Habra, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Scott Middleton

Number of HCPCS 106
Number of Medicare Beneficiaries 310
Number of Services 6101
Total Submitted Charge Amount 208578.5
Total Medicare Allowed Amount 137461.49
Total Medicare Payment Amount 100084.99
Total Medicare Standardized Payment Amount 88840.4
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 14
Number of Medicare Beneficiaries With Drug Services 92
Number of Drug Services 4483
Total Drug Submitted Charge Amount 14682
Total Drug Medicare Allowed Amount 8808.76
Total Drug Medicare Payment Amount 8097.82
Total Drug Medicare Standardized Payment Amount 7935.72
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 92
Number of Medicare Beneficiaries With Medical 310
Number of Medical Services 1618
Total Medical Submitted Charge Amount 193896.5
Total Medical Medicare Allowed Amount 128652.73
Total Medical Medicare Payment Amount 91987.17
Total Medical Medicare Standardized Payment Amount 80904.68
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74 145
Number of Beneficiaries Age 75 to 84 101
Number of Beneficiaries Age Greater 84 43
Number of Female Beneficiaries 168
Number of Male Beneficiaries 142
Number of Non-Hispanic White Beneficiaries 234
Number of Black or African American Beneficiaries 0
Number of Asian Pacific Islander Beneficiaries 13
Number of Hispanic Beneficiaries 52
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 21
Number of Beneficiaries With Medicare Only Entitlement 289
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.1
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.14
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.65
Percent (%) of Beneficiaries Identified With Hypertension 0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.26
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.0264

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 15216
Number of Standardized 30-Day Fills 34708.966667
Aggregate Cost Paid for All Claims 1515420.25
Number of Day's Supply for All Claims 1018954
Number of Medicare Beneficiaries 1084
Number of Claims, Including Refills, for Beneficiaries Age 65+ 14429
Including Refills, for Beneficiaries Age 65+ 33124.1
Beneficiaries Age 65+ 1423297.77
Number of Day's Supply for All Claims for Beneficaries Age 65+ 972751
Number of Medicare Beneficiaries Age 65+ 1025
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 2043
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 13101
Aggregate Cost Paid for Generic Drugs 377818.03
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 72
Aggregate Cost Paid for Other Drugs 5517.82
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 10909
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1071208.73
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4307
Aggregate Cost Paid for Claims Filled by 444211.52
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1771
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 238177.41
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 13445
by Low-Income Subsidy 1277242.84
Total Claims of Opioid Drugs, Including 407
Aggregate Cost Paid for Opioid Drugs 5105.21
Opioid Claims 115
Opioid_Tot_Clms divided by the Tot_Clms 2.6748159832
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 265
Aggregate Cost Paid for Antibiotic Drugs 6458.1
Antibiotic Claims 169
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 114
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 4393.91
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 34
Average Age of Beneficiaries 74.926199262
Number of Beneficiaries Age Less Than 65 59
Number of Beneficiaries Age 65 to 74 524
Number of Beneficiaries Age 75 to 84 328
Number of Female Beneficiaries 600
Number of Male Beneficiaries 484
Number of Non-Hispanic White 729
Number of Black or African American
Number of Asian Pacific Islander 32
Number of Hispanic Beneficiaries 287
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 25
Only Entitlement 993
Average Hierarchical Condition Category 1.4091231051

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