National Provider Identifier [NPI]: |
1952413718 |
Last Name Of The Provider |
MEDVED |
First Name Of The Provider |
ARNOLD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
317 W PUEBLO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054355 |
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 |
60 |
Number Of Services |
6529 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
767595 |
Total Medicare Allowed Amount |
301687.7 |
Total Medicare Payment Amount |
228022.87 |
Total Medicare Standardized Payment Amount |
209494.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
242 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1039 |
Total Drug Medicare AllowedAmount |
447.71 |
Total Drug Medicare PaymentAmount |
310.07 |
Total Drug Medicare Standardized Payment Amount |
310.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
6287 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
766556 |
Total Medical Medicare Allowed Amount |
301239.99 |
Total Medical Medicare Payment Amount |
227712.8 |
Total Medical Medicare Standardized Payment Amount |
209184.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.023 |