National Provider Identifier [NPI]: |
1134172869 |
Last Name Of The Provider |
FREYNE |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 BATH ST |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931054339 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
274 |
Number Of Services |
8829 |
Number Of Medicare Beneficiaries |
2852 |
Total Submitted Charge Amount |
927849.5 |
Total Medicare Allowed Amount |
259359.18 |
Total Medicare Payment Amount |
197327.44 |
Total Medicare Standardized Payment Amount |
189138.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4226 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
9234 |
Total Drug Medicare AllowedAmount |
1009.54 |
Total Drug Medicare PaymentAmount |
791.46 |
Total Drug Medicare Standardized Payment Amount |
791.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
270 |
Number Of Medical Services |
4603 |
Number Of Medicare Beneficiaries With Medical Services |
2852 |
Total Medical Submitted Charge Amount |
918615.5 |
Total Medical Medicare Allowed Amount |
258349.64 |
Total Medical Medicare Payment Amount |
196535.98 |
Total Medical Medicare Standardized Payment Amount |
188346.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
390 |
Number Of Beneficiaries Age 65 to 74 |
905 |
Number Of Beneficiaries Age 75 to 84 |
933 |
Number Of Beneficiaries Age Greater 84 |
624 |
Number Of Female Beneficiaries |
1765 |
Number Of Male Beneficiaries |
1087 |
Number Of Non Hispanic White Beneficiaries |
1959 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
127 |
Number Of Hispanic Beneficiaries |
650 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
2031 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
821 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9363 |