National Provider Identifier [NPI]: |
1609052174 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
YOUVAL |
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 |
263 BIRCH DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE HILL |
Zip Code Of The Provider |
194442103 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
88066 |
Number Of Medicare Beneficiaries |
547 |
Total Submitted Charge Amount |
1842521.31 |
Total Medicare Allowed Amount |
1083657.9 |
Total Medicare Payment Amount |
839297.85 |
Total Medicare Standardized Payment Amount |
830045.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
86046 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
1554013.31 |
Total Drug Medicare AllowedAmount |
919605.97 |
Total Drug Medicare PaymentAmount |
713475.67 |
Total Drug Medicare Standardized Payment Amount |
713475.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2020 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
288508 |
Total Medical Medicare Allowed Amount |
164051.93 |
Total Medical Medicare Payment Amount |
125822.18 |
Total Medical Medicare Standardized Payment Amount |
116569.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
497 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8965 |