National Provider Identifier [NPI]: |
1730150848 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1470 BESSIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRACY |
Zip Code Of The Provider |
953763459 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
6588 |
Number Of Medicare Beneficiaries |
880 |
Total Submitted Charge Amount |
840180.08 |
Total Medicare Allowed Amount |
639002.3 |
Total Medicare Payment Amount |
475920.35 |
Total Medicare Standardized Payment Amount |
461124.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
347 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
13991 |
Total Drug Medicare AllowedAmount |
8875.75 |
Total Drug Medicare PaymentAmount |
8663.82 |
Total Drug Medicare Standardized Payment Amount |
8663.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
6241 |
Number Of Medicare Beneficiaries With Medical Services |
880 |
Total Medical Submitted Charge Amount |
826189.08 |
Total Medical Medicare Allowed Amount |
630126.55 |
Total Medical Medicare Payment Amount |
467256.53 |
Total Medical Medicare Standardized Payment Amount |
452460.75 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
99 |
Number Of Hispanic Beneficiaries |
150 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5557 |