National Provider Identifier [NPI]: |
1912174970 |
Last Name Of The Provider |
CATT |
First Name Of The Provider |
LUCAS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1005 HEALTH CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
MATTOON |
Zip Code Of The Provider |
61938 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2755 |
Number Of Medicare Beneficiaries |
387 |
Total Submitted Charge Amount |
223146 |
Total Medicare Allowed Amount |
146653.37 |
Total Medicare Payment Amount |
104095.35 |
Total Medicare Standardized Payment Amount |
108547.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
740 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
25199 |
Total Drug Medicare AllowedAmount |
10967.98 |
Total Drug Medicare PaymentAmount |
9001.91 |
Total Drug Medicare Standardized Payment Amount |
9001.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2015 |
Number Of Medicare Beneficiaries With Medical Services |
387 |
Total Medical Submitted Charge Amount |
197947 |
Total Medical Medicare Allowed Amount |
135685.39 |
Total Medical Medicare Payment Amount |
95093.44 |
Total Medical Medicare Standardized Payment Amount |
99545.9 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
200 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
374 |
Number Of Black or African American Beneficiaries |
|
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 |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.093 |