National Provider Identifier [NPI]: |
1023319704 |
Last Name Of The Provider |
KUZMINSKI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 W PUEBLO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054353 |
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 |
211 |
Number Of Services |
21651 |
Number Of Medicare Beneficiaries |
2932 |
Total Submitted Charge Amount |
1550808.52 |
Total Medicare Allowed Amount |
484320.02 |
Total Medicare Payment Amount |
374667.6 |
Total Medicare Standardized Payment Amount |
366227.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
16698 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
19855 |
Total Drug Medicare AllowedAmount |
4071.01 |
Total Drug Medicare PaymentAmount |
3121.8 |
Total Drug Medicare Standardized Payment Amount |
3121.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
207 |
Number Of Medical Services |
4953 |
Number Of Medicare Beneficiaries With Medical Services |
2932 |
Total Medical Submitted Charge Amount |
1530953.52 |
Total Medical Medicare Allowed Amount |
480249.01 |
Total Medical Medicare Payment Amount |
371545.8 |
Total Medical Medicare Standardized Payment Amount |
363105.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
321 |
Number Of Beneficiaries Age 65 to 74 |
1126 |
Number Of Beneficiaries Age 75 to 84 |
956 |
Number Of Beneficiaries Age Greater 84 |
529 |
Number Of Female Beneficiaries |
1717 |
Number Of Male Beneficiaries |
1215 |
Number Of Non Hispanic White Beneficiaries |
2333 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
425 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
529 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4974 |