National Provider Identifier [NPI]: |
1205832813 |
Last Name Of The Provider |
VANMETER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
334 S PATTERSON AVE |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931112475 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
14160 |
Number Of Medicare Beneficiaries |
1259 |
Total Submitted Charge Amount |
761637 |
Total Medicare Allowed Amount |
673741.15 |
Total Medicare Payment Amount |
499834.19 |
Total Medicare Standardized Payment Amount |
445075.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
2640 |
Total Drug Medicare AllowedAmount |
2576.19 |
Total Drug Medicare PaymentAmount |
1922.13 |
Total Drug Medicare Standardized Payment Amount |
1922.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
13956 |
Number Of Medicare Beneficiaries With Medical Services |
1259 |
Total Medical Submitted Charge Amount |
758997 |
Total Medical Medicare Allowed Amount |
671164.96 |
Total Medical Medicare Payment Amount |
497912.06 |
Total Medical Medicare Standardized Payment Amount |
443152.88 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
478 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
1180 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8775 |