National Provider Identifier [NPI]: |
1942206990 |
Last Name Of The Provider |
OSBURN |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 BATH ST |
Street Address 2 Of The Provider |
SUITE 113 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
93105 |
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 |
201 |
Number Of Services |
12122 |
Number Of Medicare Beneficiaries |
3387 |
Total Submitted Charge Amount |
1873218.63 |
Total Medicare Allowed Amount |
508159.73 |
Total Medicare Payment Amount |
393004.05 |
Total Medicare Standardized Payment Amount |
360267.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7217 |
Number Of Medicare Beneficiaries With Drug Services |
295 |
Total Drug Submitted ChargeAmount |
34161.88 |
Total Drug Medicare AllowedAmount |
2368.42 |
Total Drug Medicare PaymentAmount |
1857.61 |
Total Drug Medicare Standardized Payment Amount |
1857.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
196 |
Number Of Medical Services |
4905 |
Number Of Medicare Beneficiaries With Medical Services |
3387 |
Total Medical Submitted Charge Amount |
1839056.75 |
Total Medical Medicare Allowed Amount |
505791.31 |
Total Medical Medicare Payment Amount |
391146.44 |
Total Medical Medicare Standardized Payment Amount |
358410.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
1360 |
Number Of Beneficiaries Age 75 to 84 |
1048 |
Number Of Beneficiaries Age Greater 84 |
611 |
Number Of Female Beneficiaries |
2133 |
Number Of Male Beneficiaries |
1254 |
Number Of Non Hispanic White Beneficiaries |
2581 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
94 |
Number Of Hispanic Beneficiaries |
577 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
59 |
Number Of Beneficiaries With Medicare Only Entitlement |
2678 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
709 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4635 |