National Provider Identifier [NPI]: |
1245200633 |
Last Name Of The Provider |
PATTON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
143 WHITE OAK TRAIL |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARRIOR |
Zip Code Of The Provider |
351804253 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
6751 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
215901 |
Total Medicare Allowed Amount |
148421.47 |
Total Medicare Payment Amount |
98942.43 |
Total Medicare Standardized Payment Amount |
107701.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3296 |
Number Of Medicare Beneficiaries With Drug Services |
397 |
Total Drug Submitted ChargeAmount |
28076 |
Total Drug Medicare AllowedAmount |
7583.95 |
Total Drug Medicare PaymentAmount |
5123.3 |
Total Drug Medicare Standardized Payment Amount |
5123.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3455 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
187825 |
Total Medical Medicare Allowed Amount |
140837.52 |
Total Medical Medicare Payment Amount |
93819.13 |
Total Medical Medicare Standardized Payment Amount |
102578.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
559 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
524 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9275 |