National Provider Identifier [NPI]: |
1962408997 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
VERONICA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
641 HOSPITAL RD |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
COMMERCE |
Zip Code Of The Provider |
305291155 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
2294 |
Number Of Medicare Beneficiaries |
455 |
Total Submitted Charge Amount |
205933.22 |
Total Medicare Allowed Amount |
113757.41 |
Total Medicare Payment Amount |
77244.78 |
Total Medicare Standardized Payment Amount |
84156.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
293 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
6801 |
Total Drug Medicare AllowedAmount |
1111.69 |
Total Drug Medicare PaymentAmount |
962.77 |
Total Drug Medicare Standardized Payment Amount |
962.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2001 |
Number Of Medicare Beneficiaries With Medical Services |
455 |
Total Medical Submitted Charge Amount |
199132.22 |
Total Medical Medicare Allowed Amount |
112645.72 |
Total Medical Medicare Payment Amount |
76282.01 |
Total Medical Medicare Standardized Payment Amount |
83193.46 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
361 |
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 |
246 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3965 |