National Provider Identifier [NPI]: |
1457352106 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
48 S PRESCOTT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381114619 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
4071 |
Number Of Medicare Beneficiaries |
1422 |
Total Submitted Charge Amount |
449429 |
Total Medicare Allowed Amount |
149618.83 |
Total Medicare Payment Amount |
100637.8 |
Total Medicare Standardized Payment Amount |
110615.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
323 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
4800 |
Total Drug Medicare AllowedAmount |
1507.72 |
Total Drug Medicare PaymentAmount |
1298.85 |
Total Drug Medicare Standardized Payment Amount |
1298.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3748 |
Number Of Medicare Beneficiaries With Medical Services |
1422 |
Total Medical Submitted Charge Amount |
444629 |
Total Medical Medicare Allowed Amount |
148111.11 |
Total Medical Medicare Payment Amount |
99338.95 |
Total Medical Medicare Standardized Payment Amount |
109316.21 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
471 |
Number Of Beneficiaries Age 65 to 74 |
450 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
752 |
Number Of Male Beneficiaries |
670 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
998 |
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 |
760 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
662 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.7006 |