Medicare Facts for Dr. Robert E. Caton, MD


National Provider Identifier [NPI]: 1861593196
Last Name Of The Provider CATON
First Name Of The Provider ROBERT
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1524 MCHENRY AVE
Street Address 2 Of The Provider SUITE 515
City Of The Provider MODESTO
Zip Code Of The Provider 953504500
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 65
Number Of Services 686
Number Of Medicare Beneficiaries 177
Total Submitted Charge Amount 228659.38
Total Medicare Allowed Amount 98723.35
Total Medicare Payment Amount 76353.62
Total Medicare Standardized Payment Amount 74965.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 105
Number Of Medicare Beneficiaries With Drug Services 14
Total Drug Submitted ChargeAmount 21000
Total Drug Medicare AllowedAmount 9487.32
Total Drug Medicare PaymentAmount 7299.39
Total Drug Medicare Standardized Payment Amount 7299.39
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 581
Number Of Medicare Beneficiaries With Medical Services 177
Total Medical Submitted Charge Amount 207659.38
Total Medical Medicare Allowed Amount 89236.03
Total Medical Medicare Payment Amount 69054.23
Total Medical Medicare Standardized Payment Amount 67666.28
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 60
Number Of Beneficiaries Age 65 to 74 67
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 119
Number Of Male Beneficiaries 58
Number Of Non Hispanic White Beneficiaries 103
Number Of Black or African American Beneficiaries 12
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 51
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 66
Number Of Beneficiaries With Medicare Medicaid Entitlement 111
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 10
Percent Of With Cancer 8
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 32
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 63
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4828

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