National Provider Identifier [NPI]: |
1164495107 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SATYAJEET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8820 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOUGLASVILLE |
Zip Code Of The Provider |
301342266 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
1892 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
293697.87 |
Total Medicare Allowed Amount |
145904.01 |
Total Medicare Payment Amount |
101828.52 |
Total Medicare Standardized Payment Amount |
102754.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
209 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
10492.87 |
Total Drug Medicare AllowedAmount |
5183.22 |
Total Drug Medicare PaymentAmount |
5036.53 |
Total Drug Medicare Standardized Payment Amount |
5036.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1683 |
Number Of Medicare Beneficiaries With Medical Services |
492 |
Total Medical Submitted Charge Amount |
283205 |
Total Medical Medicare Allowed Amount |
140720.79 |
Total Medical Medicare Payment Amount |
96791.99 |
Total Medical Medicare Standardized Payment Amount |
97718.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
231 |
Number Of Non Hispanic White Beneficiaries |
383 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.026 |