National Provider Identifier [NPI]: |
1548212285 |
Last Name Of The Provider |
KATER |
First Name Of The Provider |
GABRIELLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12798 W FOREST HILL BLVD |
Street Address 2 Of The Provider |
SUIT 301A |
City Of The Provider |
WELLINGTON |
Zip Code Of The Provider |
334144750 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
38469 |
Number Of Medicare Beneficiaries |
2006 |
Total Submitted Charge Amount |
1708961.2 |
Total Medicare Allowed Amount |
432353.64 |
Total Medicare Payment Amount |
329174.69 |
Total Medicare Standardized Payment Amount |
321662.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
35188 |
Number Of Medicare Beneficiaries With Drug Services |
427 |
Total Drug Submitted ChargeAmount |
49126.2 |
Total Drug Medicare AllowedAmount |
9889.25 |
Total Drug Medicare PaymentAmount |
7661.27 |
Total Drug Medicare Standardized Payment Amount |
7661.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
3281 |
Number Of Medicare Beneficiaries With Medical Services |
2003 |
Total Medical Submitted Charge Amount |
1659835 |
Total Medical Medicare Allowed Amount |
422464.39 |
Total Medical Medicare Payment Amount |
321513.42 |
Total Medical Medicare Standardized Payment Amount |
314000.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
296 |
Number Of Beneficiaries Age 65 to 74 |
916 |
Number Of Beneficiaries Age 75 to 84 |
564 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
1226 |
Number Of Male Beneficiaries |
780 |
Number Of Non Hispanic White Beneficiaries |
1318 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
415 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
571 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3499 |