National Provider Identifier [NPI]: |
1679525034 |
Last Name Of The Provider |
POLITO |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
334 S PATTERSON AVE |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931112400 |
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 |
44 |
Number Of Services |
2641 |
Number Of Medicare Beneficiaries |
896 |
Total Submitted Charge Amount |
628443.9 |
Total Medicare Allowed Amount |
339747.87 |
Total Medicare Payment Amount |
247254.85 |
Total Medicare Standardized Payment Amount |
236242.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
140 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
4217.96 |
Total Drug Medicare AllowedAmount |
2821.06 |
Total Drug Medicare PaymentAmount |
2738.33 |
Total Drug Medicare Standardized Payment Amount |
2738.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2501 |
Number Of Medicare Beneficiaries With Medical Services |
895 |
Total Medical Submitted Charge Amount |
624225.94 |
Total Medical Medicare Allowed Amount |
336926.81 |
Total Medical Medicare Payment Amount |
244516.52 |
Total Medical Medicare Standardized Payment Amount |
233504.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
798 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
838 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0305 |