National Provider Identifier [NPI]: |
1750382958 |
Last Name Of The Provider |
CATES |
First Name Of The Provider |
JACK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1710 MALVERN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719017132 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
6828 |
Number Of Medicare Beneficiaries |
1284 |
Total Submitted Charge Amount |
527483.5 |
Total Medicare Allowed Amount |
293997.47 |
Total Medicare Payment Amount |
208774.41 |
Total Medicare Standardized Payment Amount |
232923.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
659 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
2527.5 |
Total Drug Medicare AllowedAmount |
1211.11 |
Total Drug Medicare PaymentAmount |
784.46 |
Total Drug Medicare Standardized Payment Amount |
784.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
6169 |
Number Of Medicare Beneficiaries With Medical Services |
1284 |
Total Medical Submitted Charge Amount |
524956 |
Total Medical Medicare Allowed Amount |
292786.36 |
Total Medical Medicare Payment Amount |
207989.95 |
Total Medical Medicare Standardized Payment Amount |
232139.04 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
441 |
Number Of Beneficiaries Age 75 to 84 |
538 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
565 |
Number Of Male Beneficiaries |
719 |
Number Of Non Hispanic White Beneficiaries |
1258 |
Number Of Black or African American Beneficiaries |
13 |
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 |
1229 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0576 |