National Provider Identifier [NPI]: |
1780622910 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
JULES |
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 |
21 CROSSROADS DR |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
OWINGS MILLS |
Zip Code Of The Provider |
211175441 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
5593 |
Number Of Medicare Beneficiaries |
3215 |
Total Submitted Charge Amount |
742322.64 |
Total Medicare Allowed Amount |
260157.4 |
Total Medicare Payment Amount |
210521.08 |
Total Medicare Standardized Payment Amount |
198599.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
1661 |
Total Drug Medicare AllowedAmount |
47.96 |
Total Drug Medicare PaymentAmount |
37.59 |
Total Drug Medicare Standardized Payment Amount |
37.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
5549 |
Number Of Medicare Beneficiaries With Medical Services |
3215 |
Total Medical Submitted Charge Amount |
740661.64 |
Total Medical Medicare Allowed Amount |
260109.44 |
Total Medical Medicare Payment Amount |
210483.49 |
Total Medical Medicare Standardized Payment Amount |
198561.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
633 |
Number Of Beneficiaries Age 65 to 74 |
1064 |
Number Of Beneficiaries Age 75 to 84 |
892 |
Number Of Beneficiaries Age Greater 84 |
626 |
Number Of Female Beneficiaries |
2097 |
Number Of Male Beneficiaries |
1118 |
Number Of Non Hispanic White Beneficiaries |
1852 |
Number Of Black or African American Beneficiaries |
1273 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
858 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8694 |