National Provider Identifier [NPI]: |
1801958525 |
Last Name Of The Provider |
UYESAKA |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5333 HOLLISTER AVE |
Street Address 2 Of The Provider |
SUITE 237 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931112341 |
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 |
48 |
Number Of Services |
2220 |
Number Of Medicare Beneficiaries |
471 |
Total Submitted Charge Amount |
235003 |
Total Medicare Allowed Amount |
166621.57 |
Total Medicare Payment Amount |
129019.12 |
Total Medicare Standardized Payment Amount |
124016.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
194 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
7760 |
Total Drug Medicare AllowedAmount |
5198.32 |
Total Drug Medicare PaymentAmount |
5088.39 |
Total Drug Medicare Standardized Payment Amount |
5088.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2026 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
227243 |
Total Medical Medicare Allowed Amount |
161423.25 |
Total Medical Medicare Payment Amount |
123930.73 |
Total Medical Medicare Standardized Payment Amount |
118927.69 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9521 |