National Provider Identifier [NPI]: |
1437205879 |
Last Name Of The Provider |
DANSON |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
216 W PUEBLO ST |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931053855 |
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 |
109 |
Number Of Services |
19888 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
1453904 |
Total Medicare Allowed Amount |
390909.16 |
Total Medicare Payment Amount |
334152.93 |
Total Medicare Standardized Payment Amount |
320760.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1718 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
70220 |
Total Drug Medicare AllowedAmount |
9126.08 |
Total Drug Medicare PaymentAmount |
7324.12 |
Total Drug Medicare Standardized Payment Amount |
7324.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
18170 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
1383684 |
Total Medical Medicare Allowed Amount |
381783.08 |
Total Medical Medicare Payment Amount |
326828.81 |
Total Medical Medicare Standardized Payment Amount |
313436.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
101 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
178 |
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 |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2265 |