National Provider Identifier [NPI]: |
1407814569 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
DILIP |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6538 CERMAK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BERWYN |
Zip Code Of The Provider |
604022899 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
8329 |
Number Of Medicare Beneficiaries |
716 |
Total Submitted Charge Amount |
979800.76 |
Total Medicare Allowed Amount |
624747.67 |
Total Medicare Payment Amount |
474413.56 |
Total Medicare Standardized Payment Amount |
446831.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
298 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
8418 |
Total Drug Medicare AllowedAmount |
4646.59 |
Total Drug Medicare PaymentAmount |
4454.9 |
Total Drug Medicare Standardized Payment Amount |
4454.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
8031 |
Number Of Medicare Beneficiaries With Medical Services |
716 |
Total Medical Submitted Charge Amount |
971382.76 |
Total Medical Medicare Allowed Amount |
620101.08 |
Total Medical Medicare Payment Amount |
469958.66 |
Total Medical Medicare Standardized Payment Amount |
442377.08 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
371 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
218 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7628 |