National Provider Identifier [NPI]: |
1912961947 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
RAJENDRA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D.,F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 ROUTE 73 |
Street Address 2 Of The Provider |
|
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080439572 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
5990 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
2275045 |
Total Medicare Allowed Amount |
672827.76 |
Total Medicare Payment Amount |
513262.9 |
Total Medicare Standardized Payment Amount |
485090.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
457 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
25810 |
Total Drug Medicare AllowedAmount |
12636.84 |
Total Drug Medicare PaymentAmount |
9905.98 |
Total Drug Medicare Standardized Payment Amount |
9905.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
5533 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
2249235 |
Total Medical Medicare Allowed Amount |
660190.92 |
Total Medical Medicare Payment Amount |
503356.92 |
Total Medical Medicare Standardized Payment Amount |
475184.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
38 |
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 |
413 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
43 |
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 |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5624 |