National Provider Identifier [NPI]: |
1881703759 |
Last Name Of The Provider |
OATES |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
116 SOUTH PALISADE DRIVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934548905 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
3537 |
Number Of Medicare Beneficiaries |
526 |
Total Submitted Charge Amount |
256072.4 |
Total Medicare Allowed Amount |
85806.77 |
Total Medicare Payment Amount |
71569.17 |
Total Medicare Standardized Payment Amount |
68825.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2880 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
122342.4 |
Total Drug Medicare AllowedAmount |
41570.34 |
Total Drug Medicare PaymentAmount |
32591.13 |
Total Drug Medicare Standardized Payment Amount |
32591.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
657 |
Number Of Medicare Beneficiaries With Medical Services |
526 |
Total Medical Submitted Charge Amount |
133730 |
Total Medical Medicare Allowed Amount |
44236.43 |
Total Medical Medicare Payment Amount |
38978.04 |
Total Medical Medicare Standardized Payment Amount |
36234.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
449 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
31 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9603 |