National Provider Identifier [NPI]: |
1457545949 |
Last Name Of The Provider |
GATTO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1180 N INDIAN CANYON DR |
Street Address 2 Of The Provider |
SUITE E311 |
City Of The Provider |
PALM SPRINGS |
Zip Code Of The Provider |
922624800 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
20938 |
Number Of Medicare Beneficiaries |
883 |
Total Submitted Charge Amount |
947088 |
Total Medicare Allowed Amount |
619113.07 |
Total Medicare Payment Amount |
464496.14 |
Total Medicare Standardized Payment Amount |
426347.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
630 |
Total Drug Medicare AllowedAmount |
184.25 |
Total Drug Medicare PaymentAmount |
155.97 |
Total Drug Medicare Standardized Payment Amount |
155.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
20899 |
Number Of Medicare Beneficiaries With Medical Services |
882 |
Total Medical Submitted Charge Amount |
946458 |
Total Medical Medicare Allowed Amount |
618928.82 |
Total Medical Medicare Payment Amount |
464340.17 |
Total Medical Medicare Standardized Payment Amount |
426191.29 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
786 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
712 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2071 |