National Provider Identifier [NPI]: |
1669653861 |
Last Name Of The Provider |
BACKER |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 BATH ST STE 208 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931055322 |
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 |
217 |
Number Of Services |
13569 |
Number Of Medicare Beneficiaries |
3026 |
Total Submitted Charge Amount |
1438923.56 |
Total Medicare Allowed Amount |
366671.24 |
Total Medicare Payment Amount |
279211.66 |
Total Medicare Standardized Payment Amount |
267661.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
9134 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
23127 |
Total Drug Medicare AllowedAmount |
3035.62 |
Total Drug Medicare PaymentAmount |
2379.76 |
Total Drug Medicare Standardized Payment Amount |
2379.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
209 |
Number Of Medical Services |
4435 |
Number Of Medicare Beneficiaries With Medical Services |
3026 |
Total Medical Submitted Charge Amount |
1415796.56 |
Total Medical Medicare Allowed Amount |
363635.62 |
Total Medical Medicare Payment Amount |
276831.9 |
Total Medical Medicare Standardized Payment Amount |
265282.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
356 |
Number Of Beneficiaries Age 65 to 74 |
1135 |
Number Of Beneficiaries Age 75 to 84 |
980 |
Number Of Beneficiaries Age Greater 84 |
555 |
Number Of Female Beneficiaries |
1862 |
Number Of Male Beneficiaries |
1164 |
Number Of Non Hispanic White Beneficiaries |
2451 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
414 |
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
2442 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4187 |