National Provider Identifier [NPI]: |
1972669455 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
NP-C, DCNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1212 PROFESSIONAL BLVD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477148002 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1053 |
Number Of Medicare Beneficiaries |
254 |
Total Submitted Charge Amount |
83924.9 |
Total Medicare Allowed Amount |
51905.8 |
Total Medicare Payment Amount |
39997.79 |
Total Medicare Standardized Payment Amount |
45424.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
10137.9 |
Total Drug Medicare AllowedAmount |
7588.75 |
Total Drug Medicare PaymentAmount |
5949.56 |
Total Drug Medicare Standardized Payment Amount |
5949.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
982 |
Number Of Medicare Beneficiaries With Medical Services |
254 |
Total Medical Submitted Charge Amount |
73787 |
Total Medical Medicare Allowed Amount |
44317.05 |
Total Medical Medicare Payment Amount |
34048.23 |
Total Medical Medicare Standardized Payment Amount |
39475.37 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
241 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0301 |