National Provider Identifier [NPI]: |
1801900048 |
Last Name Of The Provider |
PATT |
First Name Of The Provider |
CARY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10103 RIDGEGATE PKWY |
Street Address 2 Of The Provider |
STE 312 |
City Of The Provider |
LONE TREE |
Zip Code Of The Provider |
801245520 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2027 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
420936.5 |
Total Medicare Allowed Amount |
208535.82 |
Total Medicare Payment Amount |
159263.74 |
Total Medicare Standardized Payment Amount |
162730.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1260 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
110880 |
Total Drug Medicare AllowedAmount |
90291.48 |
Total Drug Medicare PaymentAmount |
70558.03 |
Total Drug Medicare Standardized Payment Amount |
70558.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
767 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
310056.5 |
Total Medical Medicare Allowed Amount |
118244.34 |
Total Medical Medicare Payment Amount |
88705.71 |
Total Medical Medicare Standardized Payment Amount |
92172.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3111 |