National Provider Identifier [NPI]: |
1598747164 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
KAMAL |
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 |
8901 CARTI WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722056523 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
492500 |
Number Of Medicare Beneficiaries |
1306 |
Total Submitted Charge Amount |
23976611 |
Total Medicare Allowed Amount |
8210911.69 |
Total Medicare Payment Amount |
6455872.88 |
Total Medicare Standardized Payment Amount |
6462791.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
94 |
Number Of Drug Services |
451984 |
Number Of Medicare Beneficiaries With Drug Services |
624 |
Total Drug Submitted ChargeAmount |
18474925 |
Total Drug Medicare AllowedAmount |
6998657.98 |
Total Drug Medicare PaymentAmount |
5477331.42 |
Total Drug Medicare Standardized Payment Amount |
5477331.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
40516 |
Number Of Medicare Beneficiaries With Medical Services |
1306 |
Total Medical Submitted Charge Amount |
5501686 |
Total Medical Medicare Allowed Amount |
1212253.71 |
Total Medical Medicare Payment Amount |
978541.46 |
Total Medical Medicare Standardized Payment Amount |
985459.77 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
528 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
552 |
Number Of Non Hispanic White Beneficiaries |
1141 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1071 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
235 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8178 |