National Provider Identifier [NPI]: |
1891747812 |
Last Name Of The Provider |
HAYWARD |
First Name Of The Provider |
ULRIKE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
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 |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
2250 |
Number Of Medicare Beneficiaries |
1545 |
Total Submitted Charge Amount |
191577.23 |
Total Medicare Allowed Amount |
64460.85 |
Total Medicare Payment Amount |
50584.19 |
Total Medicare Standardized Payment Amount |
47197.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
2250 |
Number Of Medicare Beneficiaries With Medical Services |
1545 |
Total Medical Submitted Charge Amount |
191577.23 |
Total Medical Medicare Allowed Amount |
64460.85 |
Total Medical Medicare Payment Amount |
50584.19 |
Total Medical Medicare Standardized Payment Amount |
47197.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
481 |
Number Of Beneficiaries Age Greater 84 |
372 |
Number Of Female Beneficiaries |
952 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
1087 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
332 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
433 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8637 |