National Provider Identifier [NPI]: |
1831260090 |
Last Name Of The Provider |
KATOW |
First Name Of The Provider |
JEAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 E 3RD ST |
Street Address 2 Of The Provider |
SUITE 603 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900131644 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6538.5 |
Number Of Medicare Beneficiaries |
1233 |
Total Submitted Charge Amount |
942287.5 |
Total Medicare Allowed Amount |
531604.18 |
Total Medicare Payment Amount |
381007.15 |
Total Medicare Standardized Payment Amount |
342808.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
608.5 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
9297.5 |
Total Drug Medicare AllowedAmount |
3478.98 |
Total Drug Medicare PaymentAmount |
2676.29 |
Total Drug Medicare Standardized Payment Amount |
2676.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5930 |
Number Of Medicare Beneficiaries With Medical Services |
1232 |
Total Medical Submitted Charge Amount |
932990 |
Total Medical Medicare Allowed Amount |
528125.2 |
Total Medical Medicare Payment Amount |
378330.86 |
Total Medical Medicare Standardized Payment Amount |
340132.14 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
420 |
Number Of Beneficiaries Age Greater 84 |
353 |
Number Of Female Beneficiaries |
788 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
317 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
682 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
93 |
Number Of Beneficiaries With Medicare Only Entitlement |
1066 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1407 |