National Provider Identifier [NPI]: |
1336230085 |
Last Name Of The Provider |
PLATT |
First Name Of The Provider |
MCKAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1055 N 500 W |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
PROVO |
Zip Code Of The Provider |
846043305 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
5592 |
Number Of Medicare Beneficiaries |
622 |
Total Submitted Charge Amount |
943343 |
Total Medicare Allowed Amount |
347951.21 |
Total Medicare Payment Amount |
263653.85 |
Total Medicare Standardized Payment Amount |
274301.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2792 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
82356 |
Total Drug Medicare AllowedAmount |
40184.63 |
Total Drug Medicare PaymentAmount |
31409.96 |
Total Drug Medicare Standardized Payment Amount |
31409.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
2800 |
Number Of Medicare Beneficiaries With Medical Services |
622 |
Total Medical Submitted Charge Amount |
860987 |
Total Medical Medicare Allowed Amount |
307766.58 |
Total Medical Medicare Payment Amount |
232243.89 |
Total Medical Medicare Standardized Payment Amount |
242891.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
167 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
591 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.233 |