Santa Monicauclamc And Orthopedic Hospital – Outpatient Hospital Services – Page 3

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 5223 RUCA 1

Level 3 Pacemaker and Similar 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 5232 RUCA 1

Level 2 ICD and Similar 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 5302 RUCA 1

Level 2 Upper GI Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

145

Beneficiary Count

135

Avg Medicare Allowed

$2,143.23

Avg Medicare Payment

$1,712.01

Avg Total Charges

$9,070.67

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5303 RUCA 1

Level 3 Upper GI Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

36

Beneficiary Count

35

Avg Medicare Allowed

$4,026.70

Avg Medicare Payment

$3,208.27

Avg Total Charges

$22,051.24

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5313 RUCA 1

Level 3 Lower GI Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

71

Beneficiary Count

67

Avg Medicare Allowed

$3,172.28

Avg Medicare Payment

$2,567.81

Avg Total Charges

$11,020.28

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 5331 RUCA 1

Complex GI Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

42

Beneficiary Count

34

Avg Medicare Allowed

$6,471.87

Avg Medicare Payment

$5,156.44

Avg Total Charges

$23,424.75

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 5341 RUCA 1

Abdominal/Peritoneal/Biliary and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

143

Beneficiary Count

141

Avg Medicare Allowed

$4,325.26

Avg Medicare Payment

$3,436.24

Avg Total Charges

$24,232.52

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5361 RUCA 1

Level 1 Laparoscopy and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

171

Beneficiary Count

150

Avg Medicare Allowed

$6,380.34

Avg Medicare Payment

$5,071.76

Avg Total Charges

$31,769.09

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5362 RUCA 1

Level 2 Laparoscopy and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

70

Beneficiary Count

70

Avg Medicare Allowed

$11,208.53

Avg Medicare Payment

$9,605.31

Avg Total Charges

$54,724.38

Outlier Services

16

Avg Outlier Amount

$1,784.49

RUCA Classification

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

APC 5372 RUCA 1

Level 2 Urology and Related Services

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 5373 RUCA 1

Level 3 Urology and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

64

Beneficiary Count

48

Avg Medicare Allowed

$2,290.68

Avg Medicare Payment

$1,822.28

Avg Total Charges

$20,563.47

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5374 RUCA 1

Level 4 Urology and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

103

Beneficiary Count

87

Avg Medicare Allowed

$3,927.45

Avg Medicare Payment

$3,122.96

Avg Total Charges

$18,698.22

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

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