National Provider Identifier [NPI]: |
1497753131 |
Last Name Of The Provider |
KATZ |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6401 POPLAR AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381194823 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
5680 |
Number Of Medicare Beneficiaries |
1206 |
Total Submitted Charge Amount |
768276 |
Total Medicare Allowed Amount |
256376.75 |
Total Medicare Payment Amount |
175579.7 |
Total Medicare Standardized Payment Amount |
175838.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
255 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
10519 |
Total Drug Medicare AllowedAmount |
3841.8 |
Total Drug Medicare PaymentAmount |
3718.61 |
Total Drug Medicare Standardized Payment Amount |
3718.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
5425 |
Number Of Medicare Beneficiaries With Medical Services |
1206 |
Total Medical Submitted Charge Amount |
757757 |
Total Medical Medicare Allowed Amount |
252534.95 |
Total Medical Medicare Payment Amount |
171861.09 |
Total Medical Medicare Standardized Payment Amount |
172119.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
610 |
Number Of Beneficiaries Age 75 to 84 |
363 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
708 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
949 |
Number Of Black or African American Beneficiaries |
228 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1063 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9869 |