National Provider Identifier [NPI]: |
1487679312 |
Last Name Of The Provider |
PATIL |
First Name Of The Provider |
ADINATH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24035 THREE NOTCH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
206364871 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
6817 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
1270187.12 |
Total Medicare Allowed Amount |
548242.1 |
Total Medicare Payment Amount |
411872.99 |
Total Medicare Standardized Payment Amount |
408436.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
496 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
45962 |
Total Drug Medicare AllowedAmount |
25650.91 |
Total Drug Medicare PaymentAmount |
20196.04 |
Total Drug Medicare Standardized Payment Amount |
20196.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
6321 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
1224225.12 |
Total Medical Medicare Allowed Amount |
522591.19 |
Total Medical Medicare Payment Amount |
391676.95 |
Total Medical Medicare Standardized Payment Amount |
388240.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
465 |
Number Of Non Hispanic White Beneficiaries |
683 |
Number Of Black or African American Beneficiaries |
153 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
725 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5135 |