National Provider Identifier [NPI]: |
1902132871 |
Last Name Of The Provider |
PATTERSON |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1098 W BALTIMORE PIKE |
Street Address 2 Of The Provider |
SUITE 3101 |
City Of The Provider |
MEDIA |
Zip Code Of The Provider |
190635139 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1811 |
Number Of Medicare Beneficiaries |
469 |
Total Submitted Charge Amount |
350505 |
Total Medicare Allowed Amount |
219108.22 |
Total Medicare Payment Amount |
167751.95 |
Total Medicare Standardized Payment Amount |
157953.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
930 |
Total Drug Medicare AllowedAmount |
551.69 |
Total Drug Medicare PaymentAmount |
534.04 |
Total Drug Medicare Standardized Payment Amount |
534.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1790 |
Number Of Medicare Beneficiaries With Medical Services |
469 |
Total Medical Submitted Charge Amount |
349575 |
Total Medical Medicare Allowed Amount |
218556.53 |
Total Medical Medicare Payment Amount |
167217.91 |
Total Medical Medicare Standardized Payment Amount |
157419.01 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
279 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
420 |
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 |
405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
2.0287 |