National Provider Identifier [NPI]: |
1750388138 |
Last Name Of The Provider |
KATZEN |
First Name Of The Provider |
HARVEY |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8926 WOODYARD RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
CLINTON |
Zip Code Of The Provider |
207354220 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
196920 |
Number Of Medicare Beneficiaries |
1263 |
Total Submitted Charge Amount |
7672375 |
Total Medicare Allowed Amount |
2230643.65 |
Total Medicare Payment Amount |
1742786.95 |
Total Medicare Standardized Payment Amount |
1696990.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
178344 |
Number Of Medicare Beneficiaries With Drug Services |
424 |
Total Drug Submitted ChargeAmount |
5836470 |
Total Drug Medicare AllowedAmount |
1621806.03 |
Total Drug Medicare PaymentAmount |
1264426.09 |
Total Drug Medicare Standardized Payment Amount |
1264426.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
18576 |
Number Of Medicare Beneficiaries With Medical Services |
1263 |
Total Medical Submitted Charge Amount |
1835905 |
Total Medical Medicare Allowed Amount |
608837.62 |
Total Medical Medicare Payment Amount |
478360.86 |
Total Medical Medicare Standardized Payment Amount |
432563.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
539 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
832 |
Number Of Male Beneficiaries |
431 |
Number Of Non Hispanic White Beneficiaries |
502 |
Number Of Black or African American Beneficiaries |
725 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1096 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7098 |