National Provider Identifier [NPI]: |
1265491351 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
608 STANTON L YOUNG BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731045014 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
17003 |
Number Of Medicare Beneficiaries |
1100 |
Total Submitted Charge Amount |
681347 |
Total Medicare Allowed Amount |
326844.63 |
Total Medicare Payment Amount |
236382.84 |
Total Medicare Standardized Payment Amount |
250919.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14597 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
175192 |
Total Drug Medicare AllowedAmount |
78823.32 |
Total Drug Medicare PaymentAmount |
61237.2 |
Total Drug Medicare Standardized Payment Amount |
61237.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2406 |
Number Of Medicare Beneficiaries With Medical Services |
1100 |
Total Medical Submitted Charge Amount |
506155 |
Total Medical Medicare Allowed Amount |
248021.31 |
Total Medical Medicare Payment Amount |
175145.64 |
Total Medical Medicare Standardized Payment Amount |
189681.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
203 |
Number Of Beneficiaries Age 65 to 74 |
458 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
437 |
Number Of Non Hispanic White Beneficiaries |
918 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
47 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
901 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2539 |