Santa Monicauclamc And Orthopedic Hospital – Outpatient Hospital Services – Page 5

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 5465 RUCA 1

Level 5 Neurostimulator and Related Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

21

Beneficiary Count

20

Avg Medicare Allowed

$36,139.99

Avg Medicare Payment

$34,539.99

Avg Total Charges

$110,388.11

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 5471 RUCA 1

Implantation of Drug Infusion Device

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 5491 RUCA 1

Level 1 Intraocular Procedures

1250 16th Street, Santa Monica, CA 90404

Service Count

19

Beneficiary Count

12

Avg Medicare Allowed

$2,666.74

Avg Medicare Payment

$2,124.72

Avg Total Charges

$9,620.55

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 5492 RUCA 1

Level 2 Intraocular 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 5503 RUCA 1

Level 3 Extraocular, Repair, and Plastic Eye 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 5627 RUCA 1

Level 7 Radiation Therapy

1250 16th Street, Santa Monica, CA 90404

Service Count

21

Beneficiary Count

18

Avg Medicare Allowed

$9,117.69

Avg Medicare Payment

$7,514.90

Avg Total Charges

$37,027.24

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 8011 RUCA 1

Comprehensive Observation Services

1250 16th Street, Santa Monica, CA 90404

Service Count

673

Beneficiary Count

614

Avg Medicare Allowed

$2,985.92

Avg Medicare Payment

$2,562.93

Avg Total Charges

$24,742.61

Outlier Services

20

Avg Outlier Amount

$4,073.85

RUCA Classification

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