National Provider Identifier [NPI]: |
1902863533 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
KURT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 AMERICAN SQ |
Street Address 2 Of The Provider |
SUITE 185 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462820020 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
590 |
Number Of Medicare Beneficiaries |
173 |
Total Submitted Charge Amount |
80073 |
Total Medicare Allowed Amount |
37346.86 |
Total Medicare Payment Amount |
26799.73 |
Total Medicare Standardized Payment Amount |
28620.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
849 |
Total Drug Medicare AllowedAmount |
586.12 |
Total Drug Medicare PaymentAmount |
502.95 |
Total Drug Medicare Standardized Payment Amount |
502.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
572 |
Number Of Medicare Beneficiaries With Medical Services |
173 |
Total Medical Submitted Charge Amount |
79224 |
Total Medical Medicare Allowed Amount |
36760.74 |
Total Medical Medicare Payment Amount |
26296.78 |
Total Medical Medicare Standardized Payment Amount |
28117.62 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
64 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
98 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
99 |
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 |
91 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8223 |