National Provider Identifier [NPI]: |
1790738177 |
Last Name Of The Provider |
BERRETT |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 BATH ST |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054339 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
5217 |
Number Of Medicare Beneficiaries |
3155 |
Total Submitted Charge Amount |
536544.07 |
Total Medicare Allowed Amount |
172445.98 |
Total Medicare Payment Amount |
128798.2 |
Total Medicare Standardized Payment Amount |
123107.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
735.26 |
Total Drug Medicare AllowedAmount |
25.24 |
Total Drug Medicare PaymentAmount |
19.82 |
Total Drug Medicare Standardized Payment Amount |
19.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
181 |
Number Of Medical Services |
5199 |
Number Of Medicare Beneficiaries With Medical Services |
3155 |
Total Medical Submitted Charge Amount |
535808.81 |
Total Medical Medicare Allowed Amount |
172420.74 |
Total Medical Medicare Payment Amount |
128778.38 |
Total Medical Medicare Standardized Payment Amount |
123087.65 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
440 |
Number Of Beneficiaries Age 65 to 74 |
955 |
Number Of Beneficiaries Age 75 to 84 |
1008 |
Number Of Beneficiaries Age Greater 84 |
752 |
Number Of Female Beneficiaries |
1907 |
Number Of Male Beneficiaries |
1248 |
Number Of Non Hispanic White Beneficiaries |
2089 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
141 |
Number Of Hispanic Beneficiaries |
784 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1012 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0173 |