National Provider Identifier [NPI]: |
1295927739 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 S CONGRESS AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
LAKE WORTH |
Zip Code Of The Provider |
334614746 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
47233 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
2123990.03 |
Total Medicare Allowed Amount |
652021.14 |
Total Medicare Payment Amount |
508384.29 |
Total Medicare Standardized Payment Amount |
501143 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
44491 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
1613738.83 |
Total Drug Medicare AllowedAmount |
466771.53 |
Total Drug Medicare PaymentAmount |
365640.16 |
Total Drug Medicare Standardized Payment Amount |
365640.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2742 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
510251.2 |
Total Medical Medicare Allowed Amount |
185249.61 |
Total Medical Medicare Payment Amount |
142744.13 |
Total Medical Medicare Standardized Payment Amount |
135502.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
302 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
314 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2006 |