National Provider Identifier [NPI]: |
1841372356 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
PRANAV |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
545 SUNSET LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
CULPEPER |
Zip Code Of The Provider |
227013914 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
73361 |
Number Of Medicare Beneficiaries |
336 |
Total Submitted Charge Amount |
4410295.3 |
Total Medicare Allowed Amount |
925750.86 |
Total Medicare Payment Amount |
727104.2 |
Total Medicare Standardized Payment Amount |
724525.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
70426 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
3983165.06 |
Total Drug Medicare AllowedAmount |
775695.44 |
Total Drug Medicare PaymentAmount |
608053.03 |
Total Drug Medicare Standardized Payment Amount |
608053.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2935 |
Number Of Medicare Beneficiaries With Medical Services |
336 |
Total Medical Submitted Charge Amount |
427130.24 |
Total Medical Medicare Allowed Amount |
150055.42 |
Total Medical Medicare Payment Amount |
119051.17 |
Total Medical Medicare Standardized Payment Amount |
116472.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8892 |