National Provider Identifier [NPI]: |
1376593657 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
GNYANDEV |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3300 E SOUTH ST |
Street Address 2 Of The Provider |
SUITE # 206 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
908054549 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
7316 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
1146212 |
Total Medicare Allowed Amount |
623185.13 |
Total Medicare Payment Amount |
481344.56 |
Total Medicare Standardized Payment Amount |
453028.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
253 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
3876 |
Total Drug Medicare AllowedAmount |
2384.17 |
Total Drug Medicare PaymentAmount |
1900.86 |
Total Drug Medicare Standardized Payment Amount |
1900.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
7063 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
1142336 |
Total Medical Medicare Allowed Amount |
620800.96 |
Total Medical Medicare Payment Amount |
479443.7 |
Total Medical Medicare Standardized Payment Amount |
451127.67 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
146 |
Number Of Black or African American Beneficiaries |
170 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
390 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.1346 |