National Provider Identifier [NPI]: |
1891737805 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4129 N ARMENIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336076436 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
6302 |
Number Of Medicare Beneficiaries |
1078 |
Total Submitted Charge Amount |
1007925.37 |
Total Medicare Allowed Amount |
649720.38 |
Total Medicare Payment Amount |
505407.38 |
Total Medicare Standardized Payment Amount |
459850.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
620 |
Total Drug Medicare AllowedAmount |
261.33 |
Total Drug Medicare PaymentAmount |
240.99 |
Total Drug Medicare Standardized Payment Amount |
240.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
6289 |
Number Of Medicare Beneficiaries With Medical Services |
1078 |
Total Medical Submitted Charge Amount |
1007305.37 |
Total Medical Medicare Allowed Amount |
649459.05 |
Total Medical Medicare Payment Amount |
505166.39 |
Total Medical Medicare Standardized Payment Amount |
459609.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
164 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
223 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
581 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
497 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.9909 |