National Provider Identifier [NPI]: |
1770561185 |
Last Name Of The Provider |
ZATORSKI |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 PEAKWOOD DR |
Street Address 2 Of The Provider |
SUITE 5E |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770902900 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
161 |
Number Of Services |
2688 |
Number Of Medicare Beneficiaries |
1845 |
Total Submitted Charge Amount |
400396 |
Total Medicare Allowed Amount |
89613.96 |
Total Medicare Payment Amount |
67163.2 |
Total Medicare Standardized Payment Amount |
67172.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
161 |
Number Of Medical Services |
2688 |
Number Of Medicare Beneficiaries With Medical Services |
1845 |
Total Medical Submitted Charge Amount |
400396 |
Total Medical Medicare Allowed Amount |
89613.96 |
Total Medical Medicare Payment Amount |
67163.2 |
Total Medical Medicare Standardized Payment Amount |
67172.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
364 |
Number Of Beneficiaries Age 65 to 74 |
732 |
Number Of Beneficiaries Age 75 to 84 |
466 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
1166 |
Number Of Male Beneficiaries |
679 |
Number Of Non Hispanic White Beneficiaries |
1178 |
Number Of Black or African American Beneficiaries |
352 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
219 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
566 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.282 |