National Provider Identifier [NPI]: |
1457306466 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11510 OLD GEORGETOWN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208522736 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
8175 |
Number Of Medicare Beneficiaries |
1511 |
Total Submitted Charge Amount |
634703.48 |
Total Medicare Allowed Amount |
574784.81 |
Total Medicare Payment Amount |
416465.18 |
Total Medicare Standardized Payment Amount |
363237.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
178.11 |
Total Drug Medicare AllowedAmount |
81.56 |
Total Drug Medicare PaymentAmount |
59.77 |
Total Drug Medicare Standardized Payment Amount |
59.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
8129 |
Number Of Medicare Beneficiaries With Medical Services |
1511 |
Total Medical Submitted Charge Amount |
634525.37 |
Total Medical Medicare Allowed Amount |
574703.25 |
Total Medical Medicare Payment Amount |
416405.41 |
Total Medical Medicare Standardized Payment Amount |
363177.44 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
598 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
750 |
Number Of Male Beneficiaries |
761 |
Number Of Non Hispanic White Beneficiaries |
1415 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9166 |