National Provider Identifier [NPI]: |
1699805523 |
Last Name Of The Provider |
NATTER |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 W 8TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322096511 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
2885 |
Number Of Medicare Beneficiaries |
1774 |
Total Submitted Charge Amount |
615227 |
Total Medicare Allowed Amount |
107692.49 |
Total Medicare Payment Amount |
75339.88 |
Total Medicare Standardized Payment Amount |
76895.64 |
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 |
91 |
Number Of Medical Services |
2885 |
Number Of Medicare Beneficiaries With Medical Services |
1774 |
Total Medical Submitted Charge Amount |
615227 |
Total Medical Medicare Allowed Amount |
107692.49 |
Total Medical Medicare Payment Amount |
75339.88 |
Total Medical Medicare Standardized Payment Amount |
76895.64 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
633 |
Number Of Beneficiaries Age 65 to 74 |
614 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
965 |
Number Of Male Beneficiaries |
809 |
Number Of Non Hispanic White Beneficiaries |
856 |
Number Of Black or African American Beneficiaries |
834 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1068 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.3132 |