National Provider Identifier [NPI]: |
1023286929 |
Last Name Of The Provider |
PATIL |
First Name Of The Provider |
KATHERINE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1591 MEDICAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
POTTSTOWN |
Zip Code Of The Provider |
194643224 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1531 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
231460 |
Total Medicare Allowed Amount |
156616.82 |
Total Medicare Payment Amount |
119112.04 |
Total Medicare Standardized Payment Amount |
112686.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
977 |
Total Drug Medicare AllowedAmount |
285.22 |
Total Drug Medicare PaymentAmount |
205.29 |
Total Drug Medicare Standardized Payment Amount |
205.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1482 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
230483 |
Total Medical Medicare Allowed Amount |
156331.6 |
Total Medical Medicare Payment Amount |
118906.75 |
Total Medical Medicare Standardized Payment Amount |
112481.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
437 |
Number Of Black or African American Beneficiaries |
24 |
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 |
371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2177 |