National Provider Identifier [NPI]: |
1053306175 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 MEDICAL CENTER PARKWAY |
Street Address 2 Of The Provider |
DEPAUL BLDG. STE. 400 |
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
37129 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
2091 |
Number Of Medicare Beneficiaries |
351 |
Total Submitted Charge Amount |
260476.8 |
Total Medicare Allowed Amount |
126183.95 |
Total Medicare Payment Amount |
88486.45 |
Total Medicare Standardized Payment Amount |
95963.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
15648.8 |
Total Drug Medicare AllowedAmount |
5335.23 |
Total Drug Medicare PaymentAmount |
5070.93 |
Total Drug Medicare Standardized Payment Amount |
5070.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1846 |
Number Of Medicare Beneficiaries With Medical Services |
351 |
Total Medical Submitted Charge Amount |
244828 |
Total Medical Medicare Allowed Amount |
120848.72 |
Total Medical Medicare Payment Amount |
83415.52 |
Total Medical Medicare Standardized Payment Amount |
90892.55 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1099 |