National Provider Identifier [NPI]: |
1326090051 |
Last Name Of The Provider |
KATZMAN |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W. TALCOTT AVE. |
Street Address 2 Of The Provider |
SUITE 542 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606313716 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3708 |
Number Of Medicare Beneficiaries |
1119 |
Total Submitted Charge Amount |
884165 |
Total Medicare Allowed Amount |
548942.47 |
Total Medicare Payment Amount |
423657.07 |
Total Medicare Standardized Payment Amount |
396806.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
898 |
Total Drug Medicare AllowedAmount |
765.9 |
Total Drug Medicare PaymentAmount |
750.55 |
Total Drug Medicare Standardized Payment Amount |
750.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3682 |
Number Of Medicare Beneficiaries With Medical Services |
1119 |
Total Medical Submitted Charge Amount |
883267 |
Total Medical Medicare Allowed Amount |
548176.57 |
Total Medical Medicare Payment Amount |
422906.52 |
Total Medical Medicare Standardized Payment Amount |
396055.6 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
406 |
Number Of Beneficiaries Age Greater 84 |
334 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
512 |
Number Of Non Hispanic White Beneficiaries |
962 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
812 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.7327 |