National Provider Identifier [NPI]: |
1821077199 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
PAIGE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 SELMA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226013834 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
5947 |
Number Of Medicare Beneficiaries |
1399 |
Total Submitted Charge Amount |
391221.81 |
Total Medicare Allowed Amount |
274780.2 |
Total Medicare Payment Amount |
203907.74 |
Total Medicare Standardized Payment Amount |
208237.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
7480.2 |
Total Drug Medicare AllowedAmount |
5586.58 |
Total Drug Medicare PaymentAmount |
5297.88 |
Total Drug Medicare Standardized Payment Amount |
5297.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
5786 |
Number Of Medicare Beneficiaries With Medical Services |
1399 |
Total Medical Submitted Charge Amount |
383741.61 |
Total Medical Medicare Allowed Amount |
269193.62 |
Total Medical Medicare Payment Amount |
198609.86 |
Total Medical Medicare Standardized Payment Amount |
202939.33 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
885 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1328 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1006 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
393 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6286 |