National Provider Identifier [NPI]: |
1548332125 |
Last Name Of The Provider |
PARENT |
First Name Of The Provider |
MELONY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5333 HOLLISTER AVE |
Street Address 2 Of The Provider |
SUITE #210 |
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 |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2013 |
Number Of Medicare Beneficiaries |
291 |
Total Submitted Charge Amount |
267361 |
Total Medicare Allowed Amount |
156664.07 |
Total Medicare Payment Amount |
120123.74 |
Total Medicare Standardized Payment Amount |
115254.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
266 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
9274 |
Total Drug Medicare AllowedAmount |
3170.9 |
Total Drug Medicare PaymentAmount |
3003.59 |
Total Drug Medicare Standardized Payment Amount |
3003.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1747 |
Number Of Medicare Beneficiaries With Medical Services |
291 |
Total Medical Submitted Charge Amount |
258087 |
Total Medical Medicare Allowed Amount |
153493.17 |
Total Medical Medicare Payment Amount |
117120.15 |
Total Medical Medicare Standardized Payment Amount |
112250.56 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
263 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
11 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8272 |