National Provider Identifier [NPI]: |
1073568648 |
Last Name Of The Provider |
FOX |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
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 208 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054339 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
202 |
Number Of Services |
12925 |
Number Of Medicare Beneficiaries |
3255 |
Total Submitted Charge Amount |
1120021.85 |
Total Medicare Allowed Amount |
303908.75 |
Total Medicare Payment Amount |
232580.8 |
Total Medicare Standardized Payment Amount |
224212.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7980 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
18344 |
Total Drug Medicare AllowedAmount |
2187.67 |
Total Drug Medicare PaymentAmount |
1714.98 |
Total Drug Medicare Standardized Payment Amount |
1714.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
197 |
Number Of Medical Services |
4945 |
Number Of Medicare Beneficiaries With Medical Services |
3255 |
Total Medical Submitted Charge Amount |
1101677.85 |
Total Medical Medicare Allowed Amount |
301721.08 |
Total Medical Medicare Payment Amount |
230865.82 |
Total Medical Medicare Standardized Payment Amount |
222497.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
336 |
Number Of Beneficiaries Age 65 to 74 |
1259 |
Number Of Beneficiaries Age 75 to 84 |
1015 |
Number Of Beneficiaries Age Greater 84 |
645 |
Number Of Female Beneficiaries |
2031 |
Number Of Male Beneficiaries |
1224 |
Number Of Non Hispanic White Beneficiaries |
2673 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
409 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
604 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3741 |