National Provider Identifier [NPI]: |
1821093485 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
IRVING |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1750 EL CAMINO REAL |
Street Address 2 Of The Provider |
SUITE # 307 |
City Of The Provider |
BURLINGAME |
Zip Code Of The Provider |
94010 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1153 |
Number Of Medicare Beneficiaries |
268 |
Total Submitted Charge Amount |
149156 |
Total Medicare Allowed Amount |
73262.68 |
Total Medicare Payment Amount |
53662.53 |
Total Medicare Standardized Payment Amount |
46311.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
46205.5 |
Total Drug Medicare AllowedAmount |
13497.04 |
Total Drug Medicare PaymentAmount |
10567.24 |
Total Drug Medicare Standardized Payment Amount |
10567.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1090 |
Number Of Medicare Beneficiaries With Medical Services |
268 |
Total Medical Submitted Charge Amount |
102950.5 |
Total Medical Medicare Allowed Amount |
59765.64 |
Total Medical Medicare Payment Amount |
43095.29 |
Total Medical Medicare Standardized Payment Amount |
35743.86 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
60 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
232 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2443 |