National Provider Identifier [NPI]: |
1891749131 |
Last Name Of The Provider |
HARTER |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
P |
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 |
212 |
Number Of Services |
8932 |
Number Of Medicare Beneficiaries |
3041 |
Total Submitted Charge Amount |
1298422.93 |
Total Medicare Allowed Amount |
347183.67 |
Total Medicare Payment Amount |
266615.72 |
Total Medicare Standardized Payment Amount |
250279.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4704 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
16112.14 |
Total Drug Medicare AllowedAmount |
1832.69 |
Total Drug Medicare PaymentAmount |
1436.93 |
Total Drug Medicare Standardized Payment Amount |
1436.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
4228 |
Number Of Medicare Beneficiaries With Medical Services |
3037 |
Total Medical Submitted Charge Amount |
1282310.79 |
Total Medical Medicare Allowed Amount |
345350.98 |
Total Medical Medicare Payment Amount |
265178.79 |
Total Medical Medicare Standardized Payment Amount |
248842.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
1191 |
Number Of Beneficiaries Age 75 to 84 |
1001 |
Number Of Beneficiaries Age Greater 84 |
515 |
Number Of Female Beneficiaries |
1821 |
Number Of Male Beneficiaries |
1220 |
Number Of Non Hispanic White Beneficiaries |
2365 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
74 |
Number Of Hispanic Beneficiaries |
474 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
59 |
Number Of Beneficiaries With Medicare Only Entitlement |
2405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
636 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5067 |