National Provider Identifier [NPI]: |
1922365022 |
Last Name Of The Provider |
BARKSDALE |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
E |
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 STE 113 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054377 |
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 |
197 |
Number Of Services |
12268 |
Number Of Medicare Beneficiaries |
3677 |
Total Submitted Charge Amount |
1138926.35 |
Total Medicare Allowed Amount |
306747.34 |
Total Medicare Payment Amount |
231278.87 |
Total Medicare Standardized Payment Amount |
220181.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6738 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
15837 |
Total Drug Medicare AllowedAmount |
1984.39 |
Total Drug Medicare PaymentAmount |
1555.62 |
Total Drug Medicare Standardized Payment Amount |
1555.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
5530 |
Number Of Medicare Beneficiaries With Medical Services |
3677 |
Total Medical Submitted Charge Amount |
1123089.35 |
Total Medical Medicare Allowed Amount |
304762.95 |
Total Medical Medicare Payment Amount |
229723.25 |
Total Medical Medicare Standardized Payment Amount |
218625.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
517 |
Number Of Beneficiaries Age 65 to 74 |
1210 |
Number Of Beneficiaries Age 75 to 84 |
1198 |
Number Of Beneficiaries Age Greater 84 |
752 |
Number Of Female Beneficiaries |
2136 |
Number Of Male Beneficiaries |
1541 |
Number Of Non Hispanic White Beneficiaries |
2662 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
110 |
Number Of Hispanic Beneficiaries |
761 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
52 |
Number Of Beneficiaries With Medicare Only Entitlement |
2646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1031 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7704 |