National Provider Identifier [NPI]: |
1003839820 |
Last Name Of The Provider |
PATT |
First Name Of The Provider |
DEBRA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2410 ROUND ROCK AVE STE 150 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROUND ROCK |
Zip Code Of The Provider |
786814019 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
58294 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
4345958 |
Total Medicare Allowed Amount |
1327735.08 |
Total Medicare Payment Amount |
1027598.1 |
Total Medicare Standardized Payment Amount |
1026286.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
50682 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
2989885 |
Total Drug Medicare AllowedAmount |
927918.89 |
Total Drug Medicare PaymentAmount |
716433.28 |
Total Drug Medicare Standardized Payment Amount |
716433.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
7612 |
Number Of Medicare Beneficiaries With Medical Services |
389 |
Total Medical Submitted Charge Amount |
1356073 |
Total Medical Medicare Allowed Amount |
399816.19 |
Total Medical Medicare Payment Amount |
311164.82 |
Total Medical Medicare Standardized Payment Amount |
309853.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
57 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5977 |