National Provider Identifier [NPI]: |
1700985496 |
Last Name Of The Provider |
AVERY |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 E MICHELTORENA ST |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931032257 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
33076 |
Number Of Medicare Beneficiaries |
1685 |
Total Submitted Charge Amount |
12921116.56 |
Total Medicare Allowed Amount |
7243362.76 |
Total Medicare Payment Amount |
5631078.23 |
Total Medicare Standardized Payment Amount |
5555539.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
14316 |
Number Of Medicare Beneficiaries With Drug Services |
413 |
Total Drug Submitted ChargeAmount |
8514664 |
Total Drug Medicare AllowedAmount |
5648508.51 |
Total Drug Medicare PaymentAmount |
4418993.03 |
Total Drug Medicare Standardized Payment Amount |
4418993.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
18760 |
Number Of Medicare Beneficiaries With Medical Services |
1684 |
Total Medical Submitted Charge Amount |
4406452.56 |
Total Medical Medicare Allowed Amount |
1594854.25 |
Total Medical Medicare Payment Amount |
1212085.2 |
Total Medical Medicare Standardized Payment Amount |
1136546.33 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
520 |
Number Of Beneficiaries Age 75 to 84 |
615 |
Number Of Beneficiaries Age Greater 84 |
482 |
Number Of Female Beneficiaries |
1006 |
Number Of Male Beneficiaries |
679 |
Number Of Non Hispanic White Beneficiaries |
1411 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
183 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3443 |