National Provider Identifier [NPI]: |
1073505327 |
Last Name Of The Provider |
BORDOFSKY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 E MICHELTORENA ST |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931032257 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
3292 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
355619.05 |
Total Medicare Allowed Amount |
297066.97 |
Total Medicare Payment Amount |
226163.41 |
Total Medicare Standardized Payment Amount |
217919.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
304 |
Number Of Medicare Beneficiaries With Drug Services |
245 |
Total Drug Submitted ChargeAmount |
8125 |
Total Drug Medicare AllowedAmount |
4000.13 |
Total Drug Medicare PaymentAmount |
3878.16 |
Total Drug Medicare Standardized Payment Amount |
3878.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2988 |
Number Of Medicare Beneficiaries With Medical Services |
621 |
Total Medical Submitted Charge Amount |
347494.05 |
Total Medical Medicare Allowed Amount |
293066.84 |
Total Medical Medicare Payment Amount |
222285.25 |
Total Medical Medicare Standardized Payment Amount |
214041.68 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
263 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.094 |