Santa Monicauclamc And Orthopedic Hospital – Outpatient Hospital Services

All Outpatient Hospital Services

This section provides data about outpatient hospital services provided by the facility. It includes details such as the 'Service Count,' which indicates how many services were provided, and the 'Beneficiary Count,' showing how many individuals received care. The 'Avg Total Charges' reflects the average charge for the services rendered, while the 'Avg Medicare Allowed' and 'Avg Medicare Payment' show the typical amount reimbursed by Medicare. The 'Outlier Services' represents any services that fall outside the normal cost range, with 'Avg Outlier Amount' showing the typical payment for these services. The 'RUCA Classification' gives information about the facility’s location, indicating whether it is in a metropolitan area or rural area.

APC 5072 RUCA 1

Level 2 Excision/ Biopsy/ Incision and Drainage

1250 16th Street, Santa Monica, CA 90404

Service Count

220

Beneficiary Count

216

Avg Medicare Allowed

$1,825.90

Avg Medicare Payment

$1,449.01

Avg Total Charges

$11,765.70

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5073 RUCA 1

Level 3 Excision/ Biopsy/ Incision and Drainage

1250 16th Street, Santa Monica, CA 90404

Service Count

77

Beneficiary Count

77

Avg Medicare Allowed

$3,157.12

Avg Medicare Payment

$2,507.52

Avg Total Charges

$18,903.82

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5091 RUCA 1

Level 1 Breast/Lymphatic Surgery and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

61

Beneficiary Count

57

Avg Medicare Allowed

$4,189.96

Avg Medicare Payment

$3,327.07

Avg Total Charges

$18,025.10

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5092 RUCA 1

Level 2 Breast/Lymphatic Surgery and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

37

Beneficiary Count

37

Avg Medicare Allowed

$7,339.31

Avg Medicare Payment

$5,847.58

Avg Total Charges

$32,448.10

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5093 RUCA 1

Level 3 Breast/Lymphatic Surgery and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5094 RUCA 1

Level 4 Breast/Lymphatic Surgery and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5112 RUCA 1

Level 2 Musculoskeletal Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

78

Beneficiary Count

76

Avg Medicare Allowed

$1,737.64

Avg Medicare Payment

$1,375.25

Avg Total Charges

$9,368.94

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5113 RUCA 1

Level 3 Musculoskeletal Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

49

Beneficiary Count

49

Avg Medicare Allowed

$3,675.97

Avg Medicare Payment

$2,927.15

Avg Total Charges

$21,259.75

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5114 RUCA 1

Level 4 Musculoskeletal Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

221

Beneficiary Count

215

Avg Medicare Allowed

$8,137.61

Avg Medicare Payment

$6,537.61

Avg Total Charges

$32,211.28

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5115 RUCA 1

Level 5 Musculoskeletal Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

282

Beneficiary Count

269

Avg Medicare Allowed

$15,974.32

Avg Medicare Payment

$14,376.35

Avg Total Charges

$67,474.65

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5116 RUCA 1

Level 6 Musculoskeletal Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

11

Beneficiary Count

11

Avg Medicare Allowed

$26,963.90

Avg Medicare Payment

$25,363.90

Avg Total Charges

$83,196.51

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5153 RUCA 1

Level 3 Airway Endoscopy

1250 16th Street, Santa Monica, CA 90404

Service Count

25

Beneficiary Count

24

Avg Medicare Allowed

$1,911.18

Avg Medicare Payment

$1,509.93

Avg Total Charges

$14,472.06

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater