National Provider Identifier [NPI]: |
1215057559 |
Last Name Of The Provider |
PATTON |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1199 PRINCE AVE |
Street Address 2 Of The Provider |
MSB 2ND FLOOR |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062797 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3703 |
Number Of Medicare Beneficiaries |
1391 |
Total Submitted Charge Amount |
776247 |
Total Medicare Allowed Amount |
369338.76 |
Total Medicare Payment Amount |
280855.59 |
Total Medicare Standardized Payment Amount |
300376.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
298 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
23860 |
Total Drug Medicare AllowedAmount |
15767.48 |
Total Drug Medicare PaymentAmount |
12361.59 |
Total Drug Medicare Standardized Payment Amount |
12361.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3405 |
Number Of Medicare Beneficiaries With Medical Services |
1391 |
Total Medical Submitted Charge Amount |
752387 |
Total Medical Medicare Allowed Amount |
353571.28 |
Total Medical Medicare Payment Amount |
268494 |
Total Medical Medicare Standardized Payment Amount |
288014.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
591 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
672 |
Number Of Male Beneficiaries |
719 |
Number Of Non Hispanic White Beneficiaries |
1219 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
263 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5025 |