National Provider Identifier [NPI]: |
1568460970 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
834 N SEMINARY ST |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
GALESBURG |
Zip Code Of The Provider |
614012852 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
21529 |
Number Of Medicare Beneficiaries |
747 |
Total Submitted Charge Amount |
1473801 |
Total Medicare Allowed Amount |
450973.85 |
Total Medicare Payment Amount |
348266.12 |
Total Medicare Standardized Payment Amount |
357656.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
15197 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
350632 |
Total Drug Medicare AllowedAmount |
123490.46 |
Total Drug Medicare PaymentAmount |
95805.01 |
Total Drug Medicare Standardized Payment Amount |
95805.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
6332 |
Number Of Medicare Beneficiaries With Medical Services |
747 |
Total Medical Submitted Charge Amount |
1123169 |
Total Medical Medicare Allowed Amount |
327483.39 |
Total Medical Medicare Payment Amount |
252461.11 |
Total Medical Medicare Standardized Payment Amount |
261851.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
605 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
11 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
679 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1795 |