National Provider Identifier [NPI]: |
1699737932 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18411 CLARK ST |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
TARZANA |
Zip Code Of The Provider |
91356 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1597 |
Number Of Medicare Beneficiaries |
277 |
Total Submitted Charge Amount |
232790.09 |
Total Medicare Allowed Amount |
166255.16 |
Total Medicare Payment Amount |
122576.94 |
Total Medicare Standardized Payment Amount |
110955.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
251 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
16210.09 |
Total Drug Medicare AllowedAmount |
10877.85 |
Total Drug Medicare PaymentAmount |
8537.04 |
Total Drug Medicare Standardized Payment Amount |
8537.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1346 |
Number Of Medicare Beneficiaries With Medical Services |
277 |
Total Medical Submitted Charge Amount |
216580 |
Total Medical Medicare Allowed Amount |
155377.31 |
Total Medical Medicare Payment Amount |
114039.9 |
Total Medical Medicare Standardized Payment Amount |
102418 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
180 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
34 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7251 |