National Provider Identifier [NPI]: |
1134394182 |
Last Name Of The Provider |
INVEEN |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
205 S WABASHA ST |
Street Address 2 Of The Provider |
MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC |
City Of The Provider |
ST. PAUL |
Zip Code Of The Provider |
551071805 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
572 |
Number Of Medicare Beneficiaries |
132 |
Total Submitted Charge Amount |
78424 |
Total Medicare Allowed Amount |
28989.71 |
Total Medicare Payment Amount |
21454.4 |
Total Medicare Standardized Payment Amount |
21886.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1011 |
Total Drug Medicare AllowedAmount |
574.34 |
Total Drug Medicare PaymentAmount |
547.33 |
Total Drug Medicare Standardized Payment Amount |
547.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
529 |
Number Of Medicare Beneficiaries With Medical Services |
132 |
Total Medical Submitted Charge Amount |
77413 |
Total Medical Medicare Allowed Amount |
28415.37 |
Total Medical Medicare Payment Amount |
20907.07 |
Total Medical Medicare Standardized Payment Amount |
21339.5 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
24 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
48 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
77 |
Number Of Black or African American Beneficiaries |
34 |
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 |
37 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
28 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2037 |