National Provider Identifier [NPI]: |
1356455356 |
Last Name Of The Provider |
CATHEY |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
117 N WINNSBORO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
QUITMAN |
Zip Code Of The Provider |
75783 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
10257 |
Number Of Medicare Beneficiaries |
655 |
Total Submitted Charge Amount |
778107.16 |
Total Medicare Allowed Amount |
385519.47 |
Total Medicare Payment Amount |
284078.18 |
Total Medicare Standardized Payment Amount |
302091.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2110 |
Number Of Medicare Beneficiaries With Drug Services |
334 |
Total Drug Submitted ChargeAmount |
45202.16 |
Total Drug Medicare AllowedAmount |
19595.15 |
Total Drug Medicare PaymentAmount |
15936.02 |
Total Drug Medicare Standardized Payment Amount |
15936.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
8147 |
Number Of Medicare Beneficiaries With Medical Services |
655 |
Total Medical Submitted Charge Amount |
732905 |
Total Medical Medicare Allowed Amount |
365924.32 |
Total Medical Medicare Payment Amount |
268142.16 |
Total Medical Medicare Standardized Payment Amount |
286155.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
624 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3372 |