| National Provider Identifier [NPI]: | 1003800897 |
| Last Name Of The Provider | PATTI |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 81 HIGHLAND AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALEM |
| Zip Code Of The Provider | 019702714 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 13 |
| Number Of Services | 13757 |
| Number Of Medicare Beneficiaries | 4047 |
| Total Submitted Charge Amount | 459761 |
| Total Medicare Allowed Amount | 104602.79 |
| Total Medicare Payment Amount | 77892.27 |
| Total Medicare Standardized Payment Amount | 77032.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 8063 |
| Number Of Medicare Beneficiaries With Drug Services | 91 |
| Total Drug Submitted ChargeAmount | 8063 |
| Total Drug Medicare AllowedAmount | 1574.03 |
| Total Drug Medicare PaymentAmount | 1234.02 |
| Total Drug Medicare Standardized Payment Amount | 1234.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 12 |
| Number Of Medical Services | 5694 |
| Number Of Medicare Beneficiaries With Medical Services | 4047 |
| Total Medical Submitted Charge Amount | 451698 |
| Total Medical Medicare Allowed Amount | 103028.76 |
| Total Medical Medicare Payment Amount | 76658.25 |
| Total Medical Medicare Standardized Payment Amount | 75798.58 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 598 |
| Number Of Beneficiaries Age 65 to 74 | 1622 |
| Number Of Beneficiaries Age 75 to 84 | 1294 |
| Number Of Beneficiaries Age Greater 84 | 533 |
| Number Of Female Beneficiaries | 1976 |
| Number Of Male Beneficiaries | 2071 |
| Number Of Non Hispanic White Beneficiaries | 3631 |
| Number Of Black or African American Beneficiaries | 112 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 138 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 94 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3092 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 955 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 25 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 2.0759 |