National Provider Identifier [NPI]: |
1700992054 |
Last Name Of The Provider |
KATZMAN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29911 6 MILE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIVONIA |
Zip Code Of The Provider |
481523603 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
16566 |
Number Of Medicare Beneficiaries |
945 |
Total Submitted Charge Amount |
1338855 |
Total Medicare Allowed Amount |
869540.32 |
Total Medicare Payment Amount |
684492.29 |
Total Medicare Standardized Payment Amount |
625113 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
344 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
15803 |
Total Drug Medicare AllowedAmount |
6385.79 |
Total Drug Medicare PaymentAmount |
5549.19 |
Total Drug Medicare Standardized Payment Amount |
5549.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
16222 |
Number Of Medicare Beneficiaries With Medical Services |
945 |
Total Medical Submitted Charge Amount |
1323052 |
Total Medical Medicare Allowed Amount |
863154.53 |
Total Medical Medicare Payment Amount |
678943.1 |
Total Medical Medicare Standardized Payment Amount |
619563.81 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
390 |
Number Of Non Hispanic White Beneficiaries |
680 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
762 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6782 |