Medicare Facts for Dr. John W. Gainor, MD


National Provider Identifier [NPI]: 1003828989
Last Name Of The Provider GAINOR
First Name Of The Provider JOHN
Middle Initial Of The Provider
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 45
Number Of Services 3850
Number Of Medicare Beneficiaries 495
Total Submitted Charge Amount 305386
Total Medicare Allowed Amount 136162.07
Total Medicare Payment Amount 100273.49
Total Medicare Standardized Payment Amount 96000.72
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 2898
Number Of Medicare Beneficiaries With Drug Services 207
Total Drug Submitted ChargeAmount 56925
Total Drug Medicare AllowedAmount 26995.99
Total Drug Medicare PaymentAmount 20701.47
Total Drug Medicare Standardized Payment Amount 20701.47
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 42
Number Of Medical Services 952
Number Of Medicare Beneficiaries With Medical Services 495
Total Medical Submitted Charge Amount 248461
Total Medical Medicare Allowed Amount 109166.08
Total Medical Medicare Payment Amount 79572.02
Total Medical Medicare Standardized Payment Amount 75299.25
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 46
Number Of Beneficiaries Age 65 to 74 218
Number Of Beneficiaries Age 75 to 84 145
Number Of Beneficiaries Age Greater 84 86
Number Of Female Beneficiaries 301
Number Of Male Beneficiaries 194
Number Of Non Hispanic White Beneficiaries 420
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 55
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 434
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 5
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 24
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 74
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 1.004

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