Medicare Facts for Dr. Douglas E. Cummings, MD


National Provider Identifier [NPI]: 1407876774
Last Name Of The Provider CUMMINGS
First Name Of The Provider DOUGLAS
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 517 W JUNIPERO ST
Street Address 2 Of The Provider
City Of The Provider SANTA BARBARA
Zip Code Of The Provider 931054239
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 1894
Number Of Medicare Beneficiaries 359
Total Submitted Charge Amount 173254.13
Total Medicare Allowed Amount 151019.98
Total Medicare Payment Amount 114681.31
Total Medicare Standardized Payment Amount 113265.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 298
Number Of Medicare Beneficiaries With Drug Services 116
Total Drug Submitted ChargeAmount 11882
Total Drug Medicare AllowedAmount 3823.13
Total Drug Medicare PaymentAmount 3593.51
Total Drug Medicare Standardized Payment Amount 3593.51
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 1596
Number Of Medicare Beneficiaries With Medical Services 359
Total Medical Submitted Charge Amount 161372.13
Total Medical Medicare Allowed Amount 147196.85
Total Medical Medicare Payment Amount 111087.8
Total Medical Medicare Standardized Payment Amount 109671.54
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 192
Number Of Beneficiaries Age 75 to 84 79
Number Of Beneficiaries Age Greater 84 52
Number Of Female Beneficiaries 177
Number Of Male Beneficiaries 182
Number Of Non Hispanic White Beneficiaries 294
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 44
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 313
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 5
Percent Of With Cancer 9
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 15
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 34
Percent Of With Hypertension 39
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.8663

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