National Provider Identifier [NPI]: |
1104873249 |
Last Name Of The Provider |
KATTAN |
First Name Of The Provider |
DAVID |
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 |
5549 W PICO BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900193919 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
14336 |
Number Of Medicare Beneficiaries |
1783 |
Total Submitted Charge Amount |
2409538 |
Total Medicare Allowed Amount |
1425642.67 |
Total Medicare Payment Amount |
1111269.64 |
Total Medicare Standardized Payment Amount |
1051134.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
487 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
13335 |
Total Drug Medicare AllowedAmount |
2183.69 |
Total Drug Medicare PaymentAmount |
1979.81 |
Total Drug Medicare Standardized Payment Amount |
1979.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
13849 |
Number Of Medicare Beneficiaries With Medical Services |
1783 |
Total Medical Submitted Charge Amount |
2396203 |
Total Medical Medicare Allowed Amount |
1423458.98 |
Total Medical Medicare Payment Amount |
1109289.83 |
Total Medical Medicare Standardized Payment Amount |
1049155.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
363 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
518 |
Number Of Beneficiaries Age Greater 84 |
420 |
Number Of Female Beneficiaries |
1011 |
Number Of Male Beneficiaries |
772 |
Number Of Non Hispanic White Beneficiaries |
529 |
Number Of Black or African American Beneficiaries |
771 |
Number Of AsianPacific Islander Beneficiaries |
146 |
Number Of Hispanic Beneficiaries |
293 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1296 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8645 |