National Provider Identifier [NPI]: |
1447296090 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
ERIN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 2ND AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
LARGO |
Zip Code Of The Provider |
337703120 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
6344 |
Number Of Medicare Beneficiaries |
1035 |
Total Submitted Charge Amount |
733307.61 |
Total Medicare Allowed Amount |
361161.85 |
Total Medicare Payment Amount |
270283.75 |
Total Medicare Standardized Payment Amount |
268499.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2707 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
83147.95 |
Total Drug Medicare AllowedAmount |
41058.01 |
Total Drug Medicare PaymentAmount |
32073.03 |
Total Drug Medicare Standardized Payment Amount |
32073.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3637 |
Number Of Medicare Beneficiaries With Medical Services |
1035 |
Total Medical Submitted Charge Amount |
650159.66 |
Total Medical Medicare Allowed Amount |
320103.84 |
Total Medical Medicare Payment Amount |
238210.72 |
Total Medical Medicare Standardized Payment Amount |
236426.04 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
371 |
Number Of Beneficiaries Age Greater 84 |
262 |
Number Of Female Beneficiaries |
688 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
990 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
949 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3815 |