National Provider Identifier [NPI]: |
1104023977 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ASHISH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39 CONGRESS ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053024 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sleep Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5293 |
Number Of Medicare Beneficiaries |
1164 |
Total Submitted Charge Amount |
854331 |
Total Medicare Allowed Amount |
528775.41 |
Total Medicare Payment Amount |
403625.56 |
Total Medicare Standardized Payment Amount |
375234.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2247 |
Total Drug Medicare AllowedAmount |
267.72 |
Total Drug Medicare PaymentAmount |
248.31 |
Total Drug Medicare Standardized Payment Amount |
248.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5263 |
Number Of Medicare Beneficiaries With Medical Services |
1163 |
Total Medical Submitted Charge Amount |
852084 |
Total Medical Medicare Allowed Amount |
528507.69 |
Total Medical Medicare Payment Amount |
403377.25 |
Total Medical Medicare Standardized Payment Amount |
374985.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
587 |
Number Of Male Beneficiaries |
577 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
87 |
Number Of Hispanic Beneficiaries |
146 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
866 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1085 |