National Provider Identifier [NPI]: |
1114951225 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
HIREN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3115 HARBOR BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339526729 |
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 |
77 |
Number Of Services |
31180.2 |
Number Of Medicare Beneficiaries |
1176 |
Total Submitted Charge Amount |
2716422.5 |
Total Medicare Allowed Amount |
1658882.4 |
Total Medicare Payment Amount |
1262801.2 |
Total Medicare Standardized Payment Amount |
1279101.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17949.2 |
Number Of Medicare Beneficiaries With Drug Services |
403 |
Total Drug Submitted ChargeAmount |
75354 |
Total Drug Medicare AllowedAmount |
50310.43 |
Total Drug Medicare PaymentAmount |
39443.4 |
Total Drug Medicare Standardized Payment Amount |
39443.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
13231 |
Number Of Medicare Beneficiaries With Medical Services |
1176 |
Total Medical Submitted Charge Amount |
2641068.5 |
Total Medical Medicare Allowed Amount |
1608571.97 |
Total Medical Medicare Payment Amount |
1223357.8 |
Total Medical Medicare Standardized Payment Amount |
1239658.49 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
437 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
537 |
Number Of Male Beneficiaries |
639 |
Number Of Non Hispanic White Beneficiaries |
1077 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
148 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.908 |