National Provider Identifier [NPI]: |
1720258585 |
Last Name Of The Provider |
TAROUMIAN |
First Name Of The Provider |
SARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 PESETAS LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931101416 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
12699 |
Number Of Medicare Beneficiaries |
432 |
Total Submitted Charge Amount |
430269 |
Total Medicare Allowed Amount |
164731.7 |
Total Medicare Payment Amount |
125044.86 |
Total Medicare Standardized Payment Amount |
121583.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
11518 |
Number Of Medicare Beneficiaries With Drug Services |
136 |
Total Drug Submitted ChargeAmount |
121113 |
Total Drug Medicare AllowedAmount |
55683.57 |
Total Drug Medicare PaymentAmount |
43481.3 |
Total Drug Medicare Standardized Payment Amount |
43481.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1181 |
Number Of Medicare Beneficiaries With Medical Services |
431 |
Total Medical Submitted Charge Amount |
309156 |
Total Medical Medicare Allowed Amount |
109048.13 |
Total Medical Medicare Payment Amount |
81563.56 |
Total Medical Medicare Standardized Payment Amount |
78102.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
346 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
374 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
29 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0772 |