Medicare Facts for Dr. James C. Zmolek, MD


National Provider Identifier [NPI]: 1417960154
Last Name Of The Provider ZMOLEK
First Name Of The Provider JAMES
Middle Initial Of The Provider C
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 215 PESETAS LN
Street Address 2 Of The Provider
City Of The Provider SANTA BARBARA
Zip Code Of The Provider 931101416
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 56
Number Of Services 3038
Number Of Medicare Beneficiaries 516
Total Submitted Charge Amount 871213
Total Medicare Allowed Amount 324145.39
Total Medicare Payment Amount 246476.23
Total Medicare Standardized Payment Amount 241257.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1788
Number Of Medicare Beneficiaries With Drug Services 154
Total Drug Submitted ChargeAmount 57422
Total Drug Medicare AllowedAmount 27369.1
Total Drug Medicare PaymentAmount 20826.32
Total Drug Medicare Standardized Payment Amount 20826.32
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 1250
Number Of Medicare Beneficiaries With Medical Services 516
Total Medical Submitted Charge Amount 813791
Total Medical Medicare Allowed Amount 296776.29
Total Medical Medicare Payment Amount 225649.91
Total Medical Medicare Standardized Payment Amount 220431.05
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 269
Number Of Beneficiaries Age 75 to 84 167
Number Of Beneficiaries Age Greater 84 50
Number Of Female Beneficiaries 297
Number Of Male Beneficiaries 219
Number Of Non Hispanic White Beneficiaries 449
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 44
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 488
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 18
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9689

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