National Provider Identifier [NPI]: |
1992799704 |
Last Name Of The Provider |
LAGATTUTA |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 N COLLEGE DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934544614 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
16846 |
Number Of Medicare Beneficiaries |
1739 |
Total Submitted Charge Amount |
2110211.98 |
Total Medicare Allowed Amount |
1506050.71 |
Total Medicare Payment Amount |
1109163.62 |
Total Medicare Standardized Payment Amount |
1039926.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1053 |
Number Of Medicare Beneficiaries With Drug Services |
458 |
Total Drug Submitted ChargeAmount |
47326 |
Total Drug Medicare AllowedAmount |
19651.88 |
Total Drug Medicare PaymentAmount |
15291.18 |
Total Drug Medicare Standardized Payment Amount |
15291.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
15793 |
Number Of Medicare Beneficiaries With Medical Services |
1738 |
Total Medical Submitted Charge Amount |
2062885.98 |
Total Medical Medicare Allowed Amount |
1486398.83 |
Total Medical Medicare Payment Amount |
1093872.44 |
Total Medical Medicare Standardized Payment Amount |
1024635.57 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
1090 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
1046 |
Number Of Male Beneficiaries |
693 |
Number Of Non Hispanic White Beneficiaries |
1102 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
472 |
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1345 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2403 |