National Provider Identifier [NPI]: |
1104829399 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 BARRS ST |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044746 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5749 |
Number Of Medicare Beneficiaries |
1987 |
Total Submitted Charge Amount |
1387797 |
Total Medicare Allowed Amount |
454350.28 |
Total Medicare Payment Amount |
335710.88 |
Total Medicare Standardized Payment Amount |
340165.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
5749 |
Number Of Medicare Beneficiaries With Medical Services |
1987 |
Total Medical Submitted Charge Amount |
1387797 |
Total Medical Medicare Allowed Amount |
454350.28 |
Total Medical Medicare Payment Amount |
335710.88 |
Total Medical Medicare Standardized Payment Amount |
340165.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
621 |
Number Of Beneficiaries Age 75 to 84 |
732 |
Number Of Beneficiaries Age Greater 84 |
435 |
Number Of Female Beneficiaries |
960 |
Number Of Male Beneficiaries |
1027 |
Number Of Non Hispanic White Beneficiaries |
1678 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1656 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
47 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8806 |