National Provider Identifier [NPI]: |
1295761708 |
Last Name Of The Provider |
SIMNING |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 NE MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEND |
Zip Code Of The Provider |
977016051 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
4241 |
Number Of Medicare Beneficiaries |
829 |
Total Submitted Charge Amount |
199050.82 |
Total Medicare Allowed Amount |
61508.78 |
Total Medicare Payment Amount |
45884.06 |
Total Medicare Standardized Payment Amount |
47111.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
1943 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
13510.58 |
Total Drug Medicare AllowedAmount |
2396.92 |
Total Drug Medicare PaymentAmount |
1878.88 |
Total Drug Medicare Standardized Payment Amount |
1878.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2298 |
Number Of Medicare Beneficiaries With Medical Services |
829 |
Total Medical Submitted Charge Amount |
185540.24 |
Total Medical Medicare Allowed Amount |
59111.86 |
Total Medical Medicare Payment Amount |
44005.18 |
Total Medical Medicare Standardized Payment Amount |
45232.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
416 |
Number Of Non Hispanic White Beneficiaries |
797 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
742 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
47 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3556 |