National Provider Identifier [NPI]: |
1104822816 |
Last Name Of The Provider |
PATTON |
First Name Of The Provider |
LANCE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 HOSPITAL DR |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
377605279 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
7414 |
Number Of Medicare Beneficiaries |
841 |
Total Submitted Charge Amount |
416203.92 |
Total Medicare Allowed Amount |
216763.17 |
Total Medicare Payment Amount |
164884.38 |
Total Medicare Standardized Payment Amount |
176982.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1688 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
42200 |
Total Drug Medicare AllowedAmount |
29154.14 |
Total Drug Medicare PaymentAmount |
24158.66 |
Total Drug Medicare Standardized Payment Amount |
24158.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
5726 |
Number Of Medicare Beneficiaries With Medical Services |
841 |
Total Medical Submitted Charge Amount |
374003.92 |
Total Medical Medicare Allowed Amount |
187609.03 |
Total Medical Medicare Payment Amount |
140725.72 |
Total Medical Medicare Standardized Payment Amount |
152823.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
460 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
799 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
583 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4442 |