National Provider Identifier [NPI]: |
1588828941 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
BHAVIK |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 ERWIN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DURHAM |
Zip Code Of The Provider |
277053941 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
2949 |
Number Of Medicare Beneficiaries |
1750 |
Total Submitted Charge Amount |
1025246 |
Total Medicare Allowed Amount |
148492.43 |
Total Medicare Payment Amount |
112368.48 |
Total Medicare Standardized Payment Amount |
116676.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
2949 |
Number Of Medicare Beneficiaries With Medical Services |
1750 |
Total Medical Submitted Charge Amount |
1025246 |
Total Medical Medicare Allowed Amount |
148492.43 |
Total Medical Medicare Payment Amount |
112368.48 |
Total Medical Medicare Standardized Payment Amount |
116676.33 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
440 |
Number Of Beneficiaries Age 65 to 74 |
785 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
887 |
Number Of Male Beneficiaries |
863 |
Number Of Non Hispanic White Beneficiaries |
1218 |
Number Of Black or African American Beneficiaries |
439 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1361 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
389 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2105 |