National Provider Identifier [NPI]: |
1255410825 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
MAYER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
33664 BAYVIEW MEDICAL DR |
Street Address 2 Of The Provider |
UNIT 2 |
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199581687 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
6755 |
Number Of Medicare Beneficiaries |
2579 |
Total Submitted Charge Amount |
2296613 |
Total Medicare Allowed Amount |
810381.25 |
Total Medicare Payment Amount |
617210.11 |
Total Medicare Standardized Payment Amount |
609971.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
6755 |
Number Of Medicare Beneficiaries With Medical Services |
2579 |
Total Medical Submitted Charge Amount |
2296613 |
Total Medical Medicare Allowed Amount |
810381.25 |
Total Medical Medicare Payment Amount |
617210.11 |
Total Medical Medicare Standardized Payment Amount |
609971.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
1103 |
Number Of Beneficiaries Age 75 to 84 |
945 |
Number Of Beneficiaries Age Greater 84 |
339 |
Number Of Female Beneficiaries |
1241 |
Number Of Male Beneficiaries |
1338 |
Number Of Non Hispanic White Beneficiaries |
2390 |
Number Of Black or African American Beneficiaries |
132 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.5322 |