National Provider Identifier [NPI]: |
1619920709 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
CHARLES |
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 |
2400 BATH ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054351 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
4858 |
Number Of Medicare Beneficiaries |
1062 |
Total Submitted Charge Amount |
955601 |
Total Medicare Allowed Amount |
399741.03 |
Total Medicare Payment Amount |
293546.43 |
Total Medicare Standardized Payment Amount |
283184.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4858 |
Number Of Medicare Beneficiaries With Medical Services |
1062 |
Total Medical Submitted Charge Amount |
955601 |
Total Medical Medicare Allowed Amount |
399741.03 |
Total Medical Medicare Payment Amount |
293546.43 |
Total Medical Medicare Standardized Payment Amount |
283184.92 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
501 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
936 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
972 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3753 |