Santa Monicauclamc And Orthopedic Hospital – Outpatient Hospital Services – Page 4

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 5375 RUCA 1

Level 5 Urology and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

186

Beneficiary Count

177

Avg Medicare Allowed

$5,738.11

Avg Medicare Payment

$4,557.86

Avg Total Charges

$35,290.69

Outlier Services

12

Avg Outlier Amount

$3,017.01

RUCA Classification

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

APC 5376 RUCA 1

Level 6 Urology and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

31

Beneficiary Count

30

Avg Medicare Allowed

$10,556.93

Avg Medicare Payment

$8,955.72

Avg Total Charges

$60,758.76

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5377 RUCA 1

Level 7 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 5378 RUCA 1

Level 8 Urology and Related Services

1250 16th Street, Santa Monica, CA 90404

Service Count

38

Beneficiary Count

37

Avg Medicare Allowed

$22,939.77

Avg Medicare Payment

$21,354.54

Avg Total Charges

$71,766.96

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 5414 RUCA 1

Level 4 Gynecologic Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

28

Beneficiary Count

28

Avg Medicare Allowed

$3,292.95

Avg Medicare Payment

$2,583.26

Avg Total Charges

$16,575.11

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 5415 RUCA 1

Level 5 Gynecologic Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

18

Beneficiary Count

18

Avg Medicare Allowed

$5,723.99

Avg Medicare Payment

$4,560.57

Avg Total Charges

$27,182.53

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5416 RUCA 1

Level 6 Gynecologic Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

16

Beneficiary Count

16

Avg Medicare Allowed

$8,549.75

Avg Medicare Payment

$6,949.75

Avg Total Charges

$42,103.37

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 5431 RUCA 1

Level 1 Nerve Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

270

Beneficiary Count

216

Avg Medicare Allowed

$2,202.61

Avg Medicare Payment

$1,751.08

Avg Total Charges

$8,935.73

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 5432 RUCA 1

Level 2 Nerve 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 5461 RUCA 1

Level 1 Neurostimulator 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 5462 RUCA 1

Level 2 Neurostimulator and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

42

Beneficiary Count

37

Avg Medicare Allowed

$7,959.93

Avg Medicare Payment

$6,398.02

Avg Total Charges

$25,426.58

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5464 RUCA 1

Level 4 Neurostimulator and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

11

Beneficiary Count

11

Avg Medicare Allowed

$26,493.74

Avg Medicare Payment

$24,893.74

Avg Total Charges

$70,842.64

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

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