National Provider Identifier [NPI]: |
1871590125 |
Last Name Of The Provider |
PATIL |
First Name Of The Provider |
HARISH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
483 N SEMORAN BLVD |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
WINTER PARK |
Zip Code Of The Provider |
327923800 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3412 |
Number Of Medicare Beneficiaries |
939 |
Total Submitted Charge Amount |
693615 |
Total Medicare Allowed Amount |
349947.03 |
Total Medicare Payment Amount |
269700.8 |
Total Medicare Standardized Payment Amount |
269676.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
336 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
14500 |
Total Drug Medicare AllowedAmount |
6201.11 |
Total Drug Medicare PaymentAmount |
4740.03 |
Total Drug Medicare Standardized Payment Amount |
4740.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3076 |
Number Of Medicare Beneficiaries With Medical Services |
939 |
Total Medical Submitted Charge Amount |
679115 |
Total Medical Medicare Allowed Amount |
343745.92 |
Total Medical Medicare Payment Amount |
264960.77 |
Total Medical Medicare Standardized Payment Amount |
264936.71 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
510 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
660 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.1849 |