National Provider Identifier [NPI]: |
1912923228 |
Last Name Of The Provider |
NAUGHTON |
First Name Of The Provider |
CATHY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
450 N NEW BALLAS RD |
Street Address 2 Of The Provider |
SUITE 150N |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631416835 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
3693 |
Number Of Medicare Beneficiaries |
316 |
Total Submitted Charge Amount |
578583.8 |
Total Medicare Allowed Amount |
188296.42 |
Total Medicare Payment Amount |
143252.06 |
Total Medicare Standardized Payment Amount |
141985.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1798 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
90004.8 |
Total Drug Medicare AllowedAmount |
25068.61 |
Total Drug Medicare PaymentAmount |
19594.77 |
Total Drug Medicare Standardized Payment Amount |
19594.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
1895 |
Number Of Medicare Beneficiaries With Medical Services |
316 |
Total Medical Submitted Charge Amount |
488579 |
Total Medical Medicare Allowed Amount |
163227.81 |
Total Medical Medicare Payment Amount |
123657.29 |
Total Medical Medicare Standardized Payment Amount |
122390.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
278 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2238 |