National Provider Identifier [NPI]: |
1558363556 |
Last Name Of The Provider |
KAY |
First Name Of The Provider |
JEROME |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 N LA CUMBRE RD |
Street Address 2 Of The Provider |
#E |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931101577 |
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 |
50 |
Number Of Services |
1598 |
Number Of Medicare Beneficiaries |
411 |
Total Submitted Charge Amount |
118135.66 |
Total Medicare Allowed Amount |
101671.39 |
Total Medicare Payment Amount |
74653.57 |
Total Medicare Standardized Payment Amount |
71785.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
212 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
3841.4 |
Total Drug Medicare AllowedAmount |
1822.38 |
Total Drug Medicare PaymentAmount |
1703.15 |
Total Drug Medicare Standardized Payment Amount |
1703.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1386 |
Number Of Medicare Beneficiaries With Medical Services |
411 |
Total Medical Submitted Charge Amount |
114294.26 |
Total Medical Medicare Allowed Amount |
99849.01 |
Total Medical Medicare Payment Amount |
72950.42 |
Total Medical Medicare Standardized Payment Amount |
70082.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
203 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
354 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
24 |
Percent Of With Hypertension |
33 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8427 |