National Provider Identifier [NPI]: |
1306810494 |
Last Name Of The Provider |
SHAFER |
First Name Of The Provider |
COLIN |
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 |
317 W PUEBLO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054310 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3085 |
Number Of Medicare Beneficiaries |
1028 |
Total Submitted Charge Amount |
797372 |
Total Medicare Allowed Amount |
344878.32 |
Total Medicare Payment Amount |
256531.37 |
Total Medicare Standardized Payment Amount |
246805.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
31815 |
Total Drug Medicare AllowedAmount |
14634.15 |
Total Drug Medicare PaymentAmount |
11411.6 |
Total Drug Medicare Standardized Payment Amount |
11411.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2808 |
Number Of Medicare Beneficiaries With Medical Services |
1028 |
Total Medical Submitted Charge Amount |
765557 |
Total Medical Medicare Allowed Amount |
330244.17 |
Total Medical Medicare Payment Amount |
245119.77 |
Total Medical Medicare Standardized Payment Amount |
235394.33 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
373 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
522 |
Number Of Non Hispanic White Beneficiaries |
852 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
123 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2571 |