National Provider Identifier [NPI]: |
1801833686 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 MONTGOMERY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICOPEE |
Zip Code Of The Provider |
010201969 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
5484 |
Number Of Medicare Beneficiaries |
2378 |
Total Submitted Charge Amount |
339026 |
Total Medicare Allowed Amount |
123316.01 |
Total Medicare Payment Amount |
98850.15 |
Total Medicare Standardized Payment Amount |
96744.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1450 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1530 |
Total Drug Medicare AllowedAmount |
352.2 |
Total Drug Medicare PaymentAmount |
276.09 |
Total Drug Medicare Standardized Payment Amount |
276.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
4034 |
Number Of Medicare Beneficiaries With Medical Services |
2378 |
Total Medical Submitted Charge Amount |
337496 |
Total Medical Medicare Allowed Amount |
122963.81 |
Total Medical Medicare Payment Amount |
98574.06 |
Total Medical Medicare Standardized Payment Amount |
96468.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
559 |
Number Of Beneficiaries Age 65 to 74 |
1086 |
Number Of Beneficiaries Age 75 to 84 |
514 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
1761 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
2070 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1610 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
768 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0819 |