National Provider Identifier [NPI]: |
1942223185 |
Last Name Of The Provider |
PATE |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
503 MCMILLAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST MONROE |
Zip Code Of The Provider |
712915327 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
218 |
Number Of Services |
10121 |
Number Of Medicare Beneficiaries |
5221 |
Total Submitted Charge Amount |
866083 |
Total Medicare Allowed Amount |
248894.87 |
Total Medicare Payment Amount |
193478.53 |
Total Medicare Standardized Payment Amount |
201791.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
218 |
Number Of Medical Services |
10121 |
Number Of Medicare Beneficiaries With Medical Services |
5221 |
Total Medical Submitted Charge Amount |
866083 |
Total Medical Medicare Allowed Amount |
248894.87 |
Total Medical Medicare Payment Amount |
193478.53 |
Total Medical Medicare Standardized Payment Amount |
201791.67 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
838 |
Number Of Beneficiaries Age 65 to 74 |
1913 |
Number Of Beneficiaries Age 75 to 84 |
1650 |
Number Of Beneficiaries Age Greater 84 |
820 |
Number Of Female Beneficiaries |
3301 |
Number Of Male Beneficiaries |
1920 |
Number Of Non Hispanic White Beneficiaries |
4041 |
Number Of Black or African American Beneficiaries |
1121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
3353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1868 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8241 |