National Provider Identifier [NPI]: |
1578569463 |
Last Name Of The Provider |
CATTELL |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
706 W HURON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481034212 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
9963 |
Number Of Medicare Beneficiaries |
2014 |
Total Submitted Charge Amount |
1505125 |
Total Medicare Allowed Amount |
920649.78 |
Total Medicare Payment Amount |
677725.76 |
Total Medicare Standardized Payment Amount |
648459.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
27735 |
Total Drug Medicare AllowedAmount |
22684.08 |
Total Drug Medicare PaymentAmount |
17704.64 |
Total Drug Medicare Standardized Payment Amount |
17704.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
9838 |
Number Of Medicare Beneficiaries With Medical Services |
2014 |
Total Medical Submitted Charge Amount |
1477390 |
Total Medical Medicare Allowed Amount |
897965.7 |
Total Medical Medicare Payment Amount |
660021.12 |
Total Medical Medicare Standardized Payment Amount |
630755.14 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
877 |
Number Of Beneficiaries Age 75 to 84 |
749 |
Number Of Beneficiaries Age Greater 84 |
314 |
Number Of Female Beneficiaries |
981 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
1930 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9235 |