National Provider Identifier [NPI]: |
1821038852 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
DEEPAK |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1739 US HIGHWAY 27 S |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEBRING |
Zip Code Of The Provider |
338704920 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
11755 |
Number Of Medicare Beneficiaries |
1526 |
Total Submitted Charge Amount |
1334803.25 |
Total Medicare Allowed Amount |
1112861.88 |
Total Medicare Payment Amount |
853544.16 |
Total Medicare Standardized Payment Amount |
850405.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
5190 |
Total Drug Medicare AllowedAmount |
4395.79 |
Total Drug Medicare PaymentAmount |
4305.2 |
Total Drug Medicare Standardized Payment Amount |
4305.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
11591 |
Number Of Medicare Beneficiaries With Medical Services |
1526 |
Total Medical Submitted Charge Amount |
1329613.25 |
Total Medical Medicare Allowed Amount |
1108466.09 |
Total Medical Medicare Payment Amount |
849238.96 |
Total Medical Medicare Standardized Payment Amount |
846100.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
434 |
Number Of Beneficiaries Age 75 to 84 |
540 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
826 |
Number Of Male Beneficiaries |
700 |
Number Of Non Hispanic White Beneficiaries |
1330 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1098 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
428 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
69 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3443 |