National Provider Identifier [NPI]: |
1487615274 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 WALTER REED BLVD |
Street Address 2 Of The Provider |
STE. 208 |
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
750423701 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
5920 |
Number Of Medicare Beneficiaries |
2145 |
Total Submitted Charge Amount |
747864.6 |
Total Medicare Allowed Amount |
344823.37 |
Total Medicare Payment Amount |
262227.32 |
Total Medicare Standardized Payment Amount |
264875.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
291 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
33155 |
Total Drug Medicare AllowedAmount |
13981.03 |
Total Drug Medicare PaymentAmount |
10961.13 |
Total Drug Medicare Standardized Payment Amount |
10961.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
5629 |
Number Of Medicare Beneficiaries With Medical Services |
2145 |
Total Medical Submitted Charge Amount |
714709.6 |
Total Medical Medicare Allowed Amount |
330842.34 |
Total Medical Medicare Payment Amount |
251266.19 |
Total Medical Medicare Standardized Payment Amount |
253914.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
402 |
Number Of Beneficiaries Age 65 to 74 |
689 |
Number Of Beneficiaries Age 75 to 84 |
681 |
Number Of Beneficiaries Age Greater 84 |
373 |
Number Of Female Beneficiaries |
1216 |
Number Of Male Beneficiaries |
929 |
Number Of Non Hispanic White Beneficiaries |
1404 |
Number Of Black or African American Beneficiaries |
354 |
Number Of AsianPacific Islander Beneficiaries |
138 |
Number Of Hispanic Beneficiaries |
225 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
718 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1449 |