National Provider Identifier [NPI]: |
1437199841 |
Last Name Of The Provider |
BARKER |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4663 SCOTTS VALLEY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTS VALLEY |
Zip Code Of The Provider |
950664202 |
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 |
52 |
Number Of Services |
2174 |
Number Of Medicare Beneficiaries |
738 |
Total Submitted Charge Amount |
339862 |
Total Medicare Allowed Amount |
136085.67 |
Total Medicare Payment Amount |
100425.06 |
Total Medicare Standardized Payment Amount |
96464.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
138 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
4417 |
Total Drug Medicare AllowedAmount |
3993.93 |
Total Drug Medicare PaymentAmount |
3893.79 |
Total Drug Medicare Standardized Payment Amount |
3893.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2036 |
Number Of Medicare Beneficiaries With Medical Services |
737 |
Total Medical Submitted Charge Amount |
335445 |
Total Medical Medicare Allowed Amount |
132091.74 |
Total Medical Medicare Payment Amount |
96531.27 |
Total Medical Medicare Standardized Payment Amount |
92570.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
269 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
660 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1684 |