National Provider Identifier [NPI]: |
1083619456 |
Last Name Of The Provider |
CATE |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1407 N THORNTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALTON |
Zip Code Of The Provider |
307203093 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
6758 |
Number Of Medicare Beneficiaries |
3511 |
Total Submitted Charge Amount |
851562 |
Total Medicare Allowed Amount |
194858.99 |
Total Medicare Payment Amount |
143712.4 |
Total Medicare Standardized Payment Amount |
152562.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
186 |
Number Of Medical Services |
6758 |
Number Of Medicare Beneficiaries With Medical Services |
3511 |
Total Medical Submitted Charge Amount |
851562 |
Total Medical Medicare Allowed Amount |
194858.99 |
Total Medical Medicare Payment Amount |
143712.4 |
Total Medical Medicare Standardized Payment Amount |
152562.03 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
945 |
Number Of Beneficiaries Age 65 to 74 |
1269 |
Number Of Beneficiaries Age 75 to 84 |
919 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
2182 |
Number Of Male Beneficiaries |
1329 |
Number Of Non Hispanic White Beneficiaries |
3232 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
139 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1284 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5807 |