National Provider Identifier [NPI]: |
1811151996 |
Last Name Of The Provider |
PATTEN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11100 EUCLID AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441061716 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
218 |
Number Of Services |
10431 |
Number Of Medicare Beneficiaries |
5237 |
Total Submitted Charge Amount |
884172.5 |
Total Medicare Allowed Amount |
327589 |
Total Medicare Payment Amount |
244366.58 |
Total Medicare Standardized Payment Amount |
236694.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1375 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
6187.5 |
Total Drug Medicare AllowedAmount |
738.76 |
Total Drug Medicare PaymentAmount |
548.31 |
Total Drug Medicare Standardized Payment Amount |
548.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
216 |
Number Of Medical Services |
9056 |
Number Of Medicare Beneficiaries With Medical Services |
5237 |
Total Medical Submitted Charge Amount |
877985 |
Total Medical Medicare Allowed Amount |
326850.24 |
Total Medical Medicare Payment Amount |
243818.27 |
Total Medical Medicare Standardized Payment Amount |
236146.67 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
546 |
Number Of Beneficiaries Age 65 to 74 |
1727 |
Number Of Beneficiaries Age 75 to 84 |
1770 |
Number Of Beneficiaries Age Greater 84 |
1194 |
Number Of Female Beneficiaries |
2951 |
Number Of Male Beneficiaries |
2286 |
Number Of Non Hispanic White Beneficiaries |
4734 |
Number Of Black or African American Beneficiaries |
224 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
4455 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
782 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.701 |