National Provider Identifier [NPI]: |
1164420527 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
NARENDRA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7575 STATE ROAD 52 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAYONET POINT |
Zip Code Of The Provider |
346676716 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
3280 |
Number Of Medicare Beneficiaries |
230 |
Total Submitted Charge Amount |
141124 |
Total Medicare Allowed Amount |
97072.46 |
Total Medicare Payment Amount |
76152.75 |
Total Medicare Standardized Payment Amount |
76585.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
3293 |
Total Drug Medicare AllowedAmount |
2321.79 |
Total Drug Medicare PaymentAmount |
2238.16 |
Total Drug Medicare Standardized Payment Amount |
2238.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3139 |
Number Of Medicare Beneficiaries With Medical Services |
230 |
Total Medical Submitted Charge Amount |
137831 |
Total Medical Medicare Allowed Amount |
94750.67 |
Total Medical Medicare Payment Amount |
73914.59 |
Total Medical Medicare Standardized Payment Amount |
74347.19 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
115 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
216 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.284 |