National Provider Identifier [NPI]: |
1184729238 |
Last Name Of The Provider |
RASMUSSEN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.P.M. |
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 |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
2914 |
Number Of Medicare Beneficiaries |
1101 |
Total Submitted Charge Amount |
424505 |
Total Medicare Allowed Amount |
178492.98 |
Total Medicare Payment Amount |
126808.4 |
Total Medicare Standardized Payment Amount |
123046.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
832 |
Total Drug Medicare AllowedAmount |
209.14 |
Total Drug Medicare PaymentAmount |
166.92 |
Total Drug Medicare Standardized Payment Amount |
166.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2722 |
Number Of Medicare Beneficiaries With Medical Services |
1101 |
Total Medical Submitted Charge Amount |
423673 |
Total Medical Medicare Allowed Amount |
178283.84 |
Total Medical Medicare Payment Amount |
126641.48 |
Total Medical Medicare Standardized Payment Amount |
122879.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
456 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
472 |
Number Of Non Hispanic White Beneficiaries |
886 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
152 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
981 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2809 |