National Provider Identifier [NPI]: |
1255358156 |
Last Name Of The Provider |
DELIO |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
219 NOGALES AVE |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931053848 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
26727 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
365127.63 |
Total Medicare Allowed Amount |
347774.42 |
Total Medicare Payment Amount |
259564.34 |
Total Medicare Standardized Payment Amount |
263191.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
24913 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
135957.65 |
Total Drug Medicare AllowedAmount |
130206.01 |
Total Drug Medicare PaymentAmount |
99501.55 |
Total Drug Medicare Standardized Payment Amount |
99501.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1814 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
229169.98 |
Total Medical Medicare Allowed Amount |
217568.41 |
Total Medical Medicare Payment Amount |
160062.79 |
Total Medical Medicare Standardized Payment Amount |
163689.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
620 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
86 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
561 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
30 |
Average HCC Risk Score Of Beneficiaries |
1.444 |