National Provider Identifier [NPI]: |
1437221520 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
JACK |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
421342370 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
23184 |
Number Of Medicare Beneficiaries |
877 |
Total Submitted Charge Amount |
1515198.35 |
Total Medicare Allowed Amount |
829655.83 |
Total Medicare Payment Amount |
608839.24 |
Total Medicare Standardized Payment Amount |
658072.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
7072 |
Number Of Medicare Beneficiaries With Drug Services |
564 |
Total Drug Submitted ChargeAmount |
159301.75 |
Total Drug Medicare AllowedAmount |
32817.05 |
Total Drug Medicare PaymentAmount |
25527.98 |
Total Drug Medicare Standardized Payment Amount |
25527.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
16112 |
Number Of Medicare Beneficiaries With Medical Services |
877 |
Total Medical Submitted Charge Amount |
1355896.6 |
Total Medical Medicare Allowed Amount |
796838.78 |
Total Medical Medicare Payment Amount |
583311.26 |
Total Medical Medicare Standardized Payment Amount |
632544.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
81 |
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 |
636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3061 |