National Provider Identifier [NPI]: |
1982792131 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3130 ELLIS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLINGHAM |
Zip Code Of The Provider |
982251904 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
18735 |
Number Of Medicare Beneficiaries |
1130 |
Total Submitted Charge Amount |
1301409 |
Total Medicare Allowed Amount |
706103.09 |
Total Medicare Payment Amount |
533563.82 |
Total Medicare Standardized Payment Amount |
543399.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3029 |
Number Of Medicare Beneficiaries With Drug Services |
320 |
Total Drug Submitted ChargeAmount |
67389 |
Total Drug Medicare AllowedAmount |
49011.34 |
Total Drug Medicare PaymentAmount |
40028.58 |
Total Drug Medicare Standardized Payment Amount |
40028.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
15706 |
Number Of Medicare Beneficiaries With Medical Services |
1129 |
Total Medical Submitted Charge Amount |
1234020 |
Total Medical Medicare Allowed Amount |
657091.75 |
Total Medical Medicare Payment Amount |
493535.24 |
Total Medical Medicare Standardized Payment Amount |
503370.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
1061 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1041 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9921 |