National Provider Identifier [NPI]: |
1629184148 |
Last Name Of The Provider |
CATALYA |
First Name Of The Provider |
ESTHER |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 TAYLOR BLVD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
PLEASANT HILL |
Zip Code Of The Provider |
945232147 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
35311 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
1512399 |
Total Medicare Allowed Amount |
746662.42 |
Total Medicare Payment Amount |
578407.14 |
Total Medicare Standardized Payment Amount |
554597.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
32431 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
845851 |
Total Drug Medicare AllowedAmount |
424882.84 |
Total Drug Medicare PaymentAmount |
331837.17 |
Total Drug Medicare Standardized Payment Amount |
331837.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
2880 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
666548 |
Total Medical Medicare Allowed Amount |
321779.58 |
Total Medical Medicare Payment Amount |
246569.97 |
Total Medical Medicare Standardized Payment Amount |
222760.47 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5591 |