National Provider Identifier [NPI]: |
1225036817 |
Last Name Of The Provider |
PARTEN |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 WEST DREW STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONETTE |
Zip Code Of The Provider |
72447 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
6441 |
Number Of Medicare Beneficiaries |
649 |
Total Submitted Charge Amount |
317553 |
Total Medicare Allowed Amount |
205909.92 |
Total Medicare Payment Amount |
142423.36 |
Total Medicare Standardized Payment Amount |
156337.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1262 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
24435 |
Total Drug Medicare AllowedAmount |
7632.62 |
Total Drug Medicare PaymentAmount |
6696.2 |
Total Drug Medicare Standardized Payment Amount |
6696.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
5179 |
Number Of Medicare Beneficiaries With Medical Services |
649 |
Total Medical Submitted Charge Amount |
293118 |
Total Medical Medicare Allowed Amount |
198277.3 |
Total Medical Medicare Payment Amount |
135727.16 |
Total Medical Medicare Standardized Payment Amount |
149641.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
635 |
Number Of Black or African American Beneficiaries |
|
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 |
362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.336 |