| National Provider Identifier [NPI]: | 1083669675 |
| Last Name Of The Provider | WRENCH |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | D |
| 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 |
| Street Address 2 Of The Provider | SUITE 208 |
| City Of The Provider | SANTA BARBARA |
| Zip Code Of The Provider | 931054339 |
| 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 | 231 |
| Number Of Services | 18009 |
| Number Of Medicare Beneficiaries | 2892 |
| Total Submitted Charge Amount | 1738006.64 |
| Total Medicare Allowed Amount | 422256.55 |
| Total Medicare Payment Amount | 320530.32 |
| Total Medicare Standardized Payment Amount | 308120.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 13942 |
| Number Of Medicare Beneficiaries With Drug Services | 317 |
| Total Drug Submitted ChargeAmount | 37520.36 |
| Total Drug Medicare AllowedAmount | 5197.56 |
| Total Drug Medicare PaymentAmount | 4073.87 |
| Total Drug Medicare Standardized Payment Amount | 4073.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 220 |
| Number Of Medical Services | 4067 |
| Number Of Medicare Beneficiaries With Medical Services | 2889 |
| Total Medical Submitted Charge Amount | 1700486.28 |
| Total Medical Medicare Allowed Amount | 417058.99 |
| Total Medical Medicare Payment Amount | 316456.45 |
| Total Medical Medicare Standardized Payment Amount | 304046.65 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 326 |
| Number Of Beneficiaries Age 65 to 74 | 1056 |
| Number Of Beneficiaries Age 75 to 84 | 959 |
| Number Of Beneficiaries Age Greater 84 | 551 |
| Number Of Female Beneficiaries | 1656 |
| Number Of Male Beneficiaries | 1236 |
| Number Of Non Hispanic White Beneficiaries | 2309 |
| Number Of Black or African American Beneficiaries | 53 |
| Number Of AsianPacific Islander Beneficiaries | 63 |
| Number Of Hispanic Beneficiaries | 397 |
| Number Of American Indian Alaska Native Beneficiaries | 25 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2327 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 565 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.552 |