National Provider Identifier [NPI]: |
1801995790 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
HERBERT |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
534 AVENUE E |
Street Address 2 Of The Provider |
SUITE 2A |
City Of The Provider |
BAYONNE |
Zip Code Of The Provider |
070023987 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
5030 |
Number Of Medicare Beneficiaries |
703 |
Total Submitted Charge Amount |
1297919.1 |
Total Medicare Allowed Amount |
394776.31 |
Total Medicare Payment Amount |
292383.59 |
Total Medicare Standardized Payment Amount |
272567.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1311 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
199809 |
Total Drug Medicare AllowedAmount |
100742.06 |
Total Drug Medicare PaymentAmount |
76702.59 |
Total Drug Medicare Standardized Payment Amount |
76702.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3719 |
Number Of Medicare Beneficiaries With Medical Services |
703 |
Total Medical Submitted Charge Amount |
1098110.1 |
Total Medical Medicare Allowed Amount |
294034.25 |
Total Medical Medicare Payment Amount |
215681 |
Total Medical Medicare Standardized Payment Amount |
195865.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
490 |
Number Of Non Hispanic White Beneficiaries |
579 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
652 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3641 |