National Provider Identifier [NPI]: |
1497754931 |
Last Name Of The Provider |
BENZIAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
PUEBLO AT BATH |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054390 |
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 |
176 |
Number Of Services |
25640 |
Number Of Medicare Beneficiaries |
2879 |
Total Submitted Charge Amount |
1357157.16 |
Total Medicare Allowed Amount |
427876.62 |
Total Medicare Payment Amount |
336450.15 |
Total Medicare Standardized Payment Amount |
323552.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
20875 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
24449 |
Total Drug Medicare AllowedAmount |
5422.49 |
Total Drug Medicare PaymentAmount |
4136.7 |
Total Drug Medicare Standardized Payment Amount |
4136.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
4765 |
Number Of Medicare Beneficiaries With Medical Services |
2879 |
Total Medical Submitted Charge Amount |
1332708.16 |
Total Medical Medicare Allowed Amount |
422454.13 |
Total Medical Medicare Payment Amount |
332313.45 |
Total Medical Medicare Standardized Payment Amount |
319415.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
297 |
Number Of Beneficiaries Age 65 to 74 |
1289 |
Number Of Beneficiaries Age 75 to 84 |
874 |
Number Of Beneficiaries Age Greater 84 |
419 |
Number Of Female Beneficiaries |
1897 |
Number Of Male Beneficiaries |
982 |
Number Of Non Hispanic White Beneficiaries |
2335 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
52 |
Number Of Hispanic Beneficiaries |
377 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
2438 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
441 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2647 |