National Provider Identifier [NPI]: |
1740214873 |
Last Name Of The Provider |
EDWARDS |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 N 4TH AVE E |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NEWTON |
Zip Code Of The Provider |
502083155 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
9260 |
Number Of Medicare Beneficiaries |
770 |
Total Submitted Charge Amount |
434705 |
Total Medicare Allowed Amount |
266800.07 |
Total Medicare Payment Amount |
199892.09 |
Total Medicare Standardized Payment Amount |
203379.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2951 |
Number Of Medicare Beneficiaries With Drug Services |
327 |
Total Drug Submitted ChargeAmount |
57926 |
Total Drug Medicare AllowedAmount |
46362.85 |
Total Drug Medicare PaymentAmount |
37538.48 |
Total Drug Medicare Standardized Payment Amount |
37538.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
6309 |
Number Of Medicare Beneficiaries With Medical Services |
770 |
Total Medical Submitted Charge Amount |
376779 |
Total Medical Medicare Allowed Amount |
220437.22 |
Total Medical Medicare Payment Amount |
162353.61 |
Total Medical Medicare Standardized Payment Amount |
165840.68 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0557 |