National Provider Identifier [NPI]: |
1104854058 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7544 JACQUE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUDSON |
Zip Code Of The Provider |
34667 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
4941 |
Number Of Medicare Beneficiaries |
672 |
Total Submitted Charge Amount |
3115899.48 |
Total Medicare Allowed Amount |
460928.46 |
Total Medicare Payment Amount |
343886.35 |
Total Medicare Standardized Payment Amount |
333508.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1202 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
11683.44 |
Total Drug Medicare AllowedAmount |
2142.01 |
Total Drug Medicare PaymentAmount |
1642.97 |
Total Drug Medicare Standardized Payment Amount |
1642.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
3739 |
Number Of Medicare Beneficiaries With Medical Services |
672 |
Total Medical Submitted Charge Amount |
3104216.04 |
Total Medical Medicare Allowed Amount |
458786.45 |
Total Medical Medicare Payment Amount |
342243.38 |
Total Medical Medicare Standardized Payment Amount |
331865.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
651 |
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 |
603 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.356 |