National Provider Identifier [NPI]: |
1245288877 |
Last Name Of The Provider |
CATALANO |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4003 N FLOWING WELLS RD |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857052498 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
452 |
Number Of Medicare Beneficiaries |
88 |
Total Submitted Charge Amount |
86575 |
Total Medicare Allowed Amount |
34400.69 |
Total Medicare Payment Amount |
23606.94 |
Total Medicare Standardized Payment Amount |
24714.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
3519 |
Total Drug Medicare AllowedAmount |
1075.13 |
Total Drug Medicare PaymentAmount |
864.91 |
Total Drug Medicare Standardized Payment Amount |
864.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
354 |
Number Of Medicare Beneficiaries With Medical Services |
88 |
Total Medical Submitted Charge Amount |
83056 |
Total Medical Medicare Allowed Amount |
33325.56 |
Total Medical Medicare Payment Amount |
22742.03 |
Total Medical Medicare Standardized Payment Amount |
23849.59 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
42 |
Number Of Beneficiaries Age 75 to 84 |
14 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
49 |
Number Of Male Beneficiaries |
39 |
Number Of Non Hispanic White Beneficiaries |
57 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6807 |