National Provider Identifier [NPI]: |
1003882275 |
Last Name Of The Provider |
WININGHAM |
First Name Of The Provider |
DONNA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 BATH STREET, |
Street Address 2 Of The Provider |
SUITE 113 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931055322 |
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 |
212 |
Number Of Services |
13469 |
Number Of Medicare Beneficiaries |
2441 |
Total Submitted Charge Amount |
1573476.85 |
Total Medicare Allowed Amount |
414535.45 |
Total Medicare Payment Amount |
322506.02 |
Total Medicare Standardized Payment Amount |
313477.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
9505 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
25297 |
Total Drug Medicare AllowedAmount |
3732.57 |
Total Drug Medicare PaymentAmount |
2896.95 |
Total Drug Medicare Standardized Payment Amount |
2896.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
203 |
Number Of Medical Services |
3964 |
Number Of Medicare Beneficiaries With Medical Services |
2441 |
Total Medical Submitted Charge Amount |
1548179.85 |
Total Medical Medicare Allowed Amount |
410802.88 |
Total Medical Medicare Payment Amount |
319609.07 |
Total Medical Medicare Standardized Payment Amount |
310580.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
328 |
Number Of Beneficiaries Age 65 to 74 |
1015 |
Number Of Beneficiaries Age 75 to 84 |
719 |
Number Of Beneficiaries Age Greater 84 |
379 |
Number Of Female Beneficiaries |
1515 |
Number Of Male Beneficiaries |
926 |
Number Of Non Hispanic White Beneficiaries |
2160 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
191 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2018 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
423 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2175 |