National Provider Identifier [NPI]: |
1770690216 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
BRADLEY |
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 |
1500 JAMES SIMPSON JR WAY |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
COVINGTON |
Zip Code Of The Provider |
410110801 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1639 |
Number Of Medicare Beneficiaries |
397 |
Total Submitted Charge Amount |
187366 |
Total Medicare Allowed Amount |
114151.23 |
Total Medicare Payment Amount |
78874.89 |
Total Medicare Standardized Payment Amount |
86821.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
185 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
4942 |
Total Drug Medicare AllowedAmount |
2943.82 |
Total Drug Medicare PaymentAmount |
2706.69 |
Total Drug Medicare Standardized Payment Amount |
2706.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1454 |
Number Of Medicare Beneficiaries With Medical Services |
397 |
Total Medical Submitted Charge Amount |
182424 |
Total Medical Medicare Allowed Amount |
111207.41 |
Total Medical Medicare Payment Amount |
76168.2 |
Total Medical Medicare Standardized Payment Amount |
84114.83 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
364 |
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 |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6748 |