National Provider Identifier [NPI]: |
1598759151 |
Last Name Of The Provider |
RICHARDSON |
First Name Of The Provider |
PATTI |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39000 BOB HOPE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703221 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
6515 |
Number Of Medicare Beneficiaries |
2247 |
Total Submitted Charge Amount |
1332894 |
Total Medicare Allowed Amount |
298145.22 |
Total Medicare Payment Amount |
231535.3 |
Total Medicare Standardized Payment Amount |
180385.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
6515 |
Number Of Medicare Beneficiaries With Medical Services |
2247 |
Total Medical Submitted Charge Amount |
1332894 |
Total Medical Medicare Allowed Amount |
298145.22 |
Total Medical Medicare Payment Amount |
231535.3 |
Total Medical Medicare Standardized Payment Amount |
180385.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
907 |
Number Of Beneficiaries Age 75 to 84 |
803 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
1077 |
Number Of Male Beneficiaries |
1170 |
Number Of Non Hispanic White Beneficiaries |
2024 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
159 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2029 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.508 |