| National Provider Identifier [NPI]: | 1285745612 |
| Last Name Of The Provider | HANSEN |
| First Name Of The Provider | PATRICIA |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 189 OUTER LOOP |
| Street Address 2 Of The Provider | |
| City Of The Provider | LOUISVILLE |
| Zip Code Of The Provider | 402145544 |
| 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 | 99 |
| Number Of Services | 95675 |
| Number Of Medicare Beneficiaries | 19102 |
| Total Submitted Charge Amount | 4054818.4 |
| Total Medicare Allowed Amount | 1537735.06 |
| Total Medicare Payment Amount | 1441924.23 |
| Total Medicare Standardized Payment Amount | 1476990.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 746 |
| Number Of Medicare Beneficiaries With Drug Services | 273 |
| Total Drug Submitted ChargeAmount | 19917 |
| Total Drug Medicare AllowedAmount | 9407.22 |
| Total Drug Medicare PaymentAmount | 8644.09 |
| Total Drug Medicare Standardized Payment Amount | 8644.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 90 |
| Number Of Medical Services | 94929 |
| Number Of Medicare Beneficiaries With Medical Services | 19102 |
| Total Medical Submitted Charge Amount | 4034901.4 |
| Total Medical Medicare Allowed Amount | 1528327.84 |
| Total Medical Medicare Payment Amount | 1433280.14 |
| Total Medical Medicare Standardized Payment Amount | 1468346.51 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 3197 |
| Number Of Beneficiaries Age 65 to 74 | 8450 |
| Number Of Beneficiaries Age 75 to 84 | 5377 |
| Number Of Beneficiaries Age Greater 84 | 2078 |
| Number Of Female Beneficiaries | 11380 |
| Number Of Male Beneficiaries | 7722 |
| Number Of Non Hispanic White Beneficiaries | 17002 |
| Number Of Black or African American Beneficiaries | 1623 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 114 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 261 |
| Number Of Beneficiaries With Medicare Only Entitlement | 16371 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2731 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.042 |