National Provider Identifier [NPI]: |
1972794659 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
RISHI |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
168 N BRENT ST |
Street Address 2 Of The Provider |
SUITE 503 |
City Of The Provider |
VENTURA |
Zip Code Of The Provider |
930032817 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
4063 |
Number Of Medicare Beneficiaries |
984 |
Total Submitted Charge Amount |
1266196 |
Total Medicare Allowed Amount |
416362.72 |
Total Medicare Payment Amount |
314749.75 |
Total Medicare Standardized Payment Amount |
291581.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
321 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
45517 |
Total Drug Medicare AllowedAmount |
16644.64 |
Total Drug Medicare PaymentAmount |
13073.36 |
Total Drug Medicare Standardized Payment Amount |
13073.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
3742 |
Number Of Medicare Beneficiaries With Medical Services |
984 |
Total Medical Submitted Charge Amount |
1220679 |
Total Medical Medicare Allowed Amount |
399718.08 |
Total Medical Medicare Payment Amount |
301676.39 |
Total Medical Medicare Standardized Payment Amount |
278508.07 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
751 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
45 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4748 |