National Provider Identifier [NPI]: |
1851374003 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 E PARRISH AVE |
Street Address 2 Of The Provider |
BLDG D |
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423031449 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
211 |
Number Of Services |
7771 |
Number Of Medicare Beneficiaries |
3847 |
Total Submitted Charge Amount |
646806 |
Total Medicare Allowed Amount |
210388.53 |
Total Medicare Payment Amount |
158602.4 |
Total Medicare Standardized Payment Amount |
169754.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1519 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
6766 |
Total Drug Medicare AllowedAmount |
698.98 |
Total Drug Medicare PaymentAmount |
532.16 |
Total Drug Medicare Standardized Payment Amount |
532.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
207 |
Number Of Medical Services |
6252 |
Number Of Medicare Beneficiaries With Medical Services |
3847 |
Total Medical Submitted Charge Amount |
640040 |
Total Medical Medicare Allowed Amount |
209689.55 |
Total Medical Medicare Payment Amount |
158070.24 |
Total Medical Medicare Standardized Payment Amount |
169222.3 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
803 |
Number Of Beneficiaries Age 65 to 74 |
1645 |
Number Of Beneficiaries Age 75 to 84 |
1081 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
2585 |
Number Of Male Beneficiaries |
1262 |
Number Of Non Hispanic White Beneficiaries |
3676 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
3008 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
839 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1842 |