National Provider Identifier [NPI]: |
1477569432 |
Last Name Of The Provider |
PATE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE A-101 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086705 |
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 |
115 |
Number Of Services |
9537 |
Number Of Medicare Beneficiaries |
1223 |
Total Submitted Charge Amount |
442865 |
Total Medicare Allowed Amount |
283593.87 |
Total Medicare Payment Amount |
218926.62 |
Total Medicare Standardized Payment Amount |
234427.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
839 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
24373 |
Total Drug Medicare AllowedAmount |
11257.51 |
Total Drug Medicare PaymentAmount |
9253.96 |
Total Drug Medicare Standardized Payment Amount |
9253.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
8698 |
Number Of Medicare Beneficiaries With Medical Services |
1223 |
Total Medical Submitted Charge Amount |
418492 |
Total Medical Medicare Allowed Amount |
272336.36 |
Total Medical Medicare Payment Amount |
209672.66 |
Total Medical Medicare Standardized Payment Amount |
225173.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
387 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
666 |
Number Of Male Beneficiaries |
557 |
Number Of Non Hispanic White Beneficiaries |
986 |
Number Of Black or African American Beneficiaries |
212 |
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 |
1049 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5533 |