National Provider Identifier [NPI]: |
1386643989 |
Last Name Of The Provider |
POJUNAS |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
PUEBLO AT BATH ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054390 |
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 |
144 |
Number Of Services |
8956 |
Number Of Medicare Beneficiaries |
3679 |
Total Submitted Charge Amount |
1389561.96 |
Total Medicare Allowed Amount |
419427.02 |
Total Medicare Payment Amount |
329664.77 |
Total Medicare Standardized Payment Amount |
315217.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2878 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
8512 |
Total Drug Medicare AllowedAmount |
2821.96 |
Total Drug Medicare PaymentAmount |
2167.2 |
Total Drug Medicare Standardized Payment Amount |
2167.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
6078 |
Number Of Medicare Beneficiaries With Medical Services |
3679 |
Total Medical Submitted Charge Amount |
1381049.96 |
Total Medical Medicare Allowed Amount |
416605.06 |
Total Medical Medicare Payment Amount |
327497.57 |
Total Medical Medicare Standardized Payment Amount |
313050.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
370 |
Number Of Beneficiaries Age 65 to 74 |
1611 |
Number Of Beneficiaries Age 75 to 84 |
1119 |
Number Of Beneficiaries Age Greater 84 |
579 |
Number Of Female Beneficiaries |
2343 |
Number Of Male Beneficiaries |
1336 |
Number Of Non Hispanic White Beneficiaries |
2969 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
80 |
Number Of Hispanic Beneficiaries |
477 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
65 |
Number Of Beneficiaries With Medicare Only Entitlement |
3117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
562 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2863 |