National Provider Identifier [NPI]: |
1780685917 |
Last Name Of The Provider |
PATRICK |
First Name Of The Provider |
HENRY |
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 |
5231 BRITTANY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708089143 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
8215 |
Number Of Medicare Beneficiaries |
1601 |
Total Submitted Charge Amount |
1115838 |
Total Medicare Allowed Amount |
423976.77 |
Total Medicare Payment Amount |
310361 |
Total Medicare Standardized Payment Amount |
333534.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1076 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
7963 |
Total Drug Medicare AllowedAmount |
2659.52 |
Total Drug Medicare PaymentAmount |
2085.04 |
Total Drug Medicare Standardized Payment Amount |
2085.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
7139 |
Number Of Medicare Beneficiaries With Medical Services |
1601 |
Total Medical Submitted Charge Amount |
1107875 |
Total Medical Medicare Allowed Amount |
421317.25 |
Total Medical Medicare Payment Amount |
308275.96 |
Total Medical Medicare Standardized Payment Amount |
331449.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
282 |
Number Of Beneficiaries Age 65 to 74 |
528 |
Number Of Beneficiaries Age 75 to 84 |
499 |
Number Of Beneficiaries Age Greater 84 |
292 |
Number Of Female Beneficiaries |
799 |
Number Of Male Beneficiaries |
802 |
Number Of Non Hispanic White Beneficiaries |
1080 |
Number Of Black or African American Beneficiaries |
475 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
471 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0362 |