National Provider Identifier [NPI]: |
1154314565 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12121 RICHMOND AVE |
Street Address 2 Of The Provider |
STE 121 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770822432 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
547 |
Number Of Medicare Beneficiaries |
155 |
Total Submitted Charge Amount |
51854 |
Total Medicare Allowed Amount |
32196.97 |
Total Medicare Payment Amount |
21930.02 |
Total Medicare Standardized Payment Amount |
22496.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
3825 |
Total Drug Medicare AllowedAmount |
1703.98 |
Total Drug Medicare PaymentAmount |
1656.17 |
Total Drug Medicare Standardized Payment Amount |
1656.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
482 |
Number Of Medicare Beneficiaries With Medical Services |
155 |
Total Medical Submitted Charge Amount |
48029 |
Total Medical Medicare Allowed Amount |
30492.99 |
Total Medical Medicare Payment Amount |
20273.85 |
Total Medical Medicare Standardized Payment Amount |
20840.19 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
63 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
127 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.908 |