National Provider Identifier [NPI]: |
1336136597 |
Last Name Of The Provider |
PATTON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4500 SAN PABLO RD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322241865 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2832 |
Number Of Medicare Beneficiaries |
1507 |
Total Submitted Charge Amount |
321295.32 |
Total Medicare Allowed Amount |
237389.5 |
Total Medicare Payment Amount |
177684.16 |
Total Medicare Standardized Payment Amount |
192414.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
2528.73 |
Total Drug Medicare AllowedAmount |
2130.82 |
Total Drug Medicare PaymentAmount |
1309.2 |
Total Drug Medicare Standardized Payment Amount |
1309.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2756 |
Number Of Medicare Beneficiaries With Medical Services |
1503 |
Total Medical Submitted Charge Amount |
318766.59 |
Total Medical Medicare Allowed Amount |
235258.68 |
Total Medical Medicare Payment Amount |
176374.96 |
Total Medical Medicare Standardized Payment Amount |
191105.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
533 |
Number Of Beneficiaries Age Greater 84 |
245 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
871 |
Number Of Non Hispanic White Beneficiaries |
1349 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1411 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7542 |