National Provider Identifier [NPI]: |
1760483481 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
YASHVANT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MANCHESTER EXPY |
Street Address 2 Of The Provider |
SUITE F-8 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319046802 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5392 |
Number Of Medicare Beneficiaries |
618 |
Total Submitted Charge Amount |
471889 |
Total Medicare Allowed Amount |
326527.4 |
Total Medicare Payment Amount |
238961.29 |
Total Medicare Standardized Payment Amount |
253718.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
170 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
4217.5 |
Total Drug Medicare AllowedAmount |
3005.87 |
Total Drug Medicare PaymentAmount |
2945.42 |
Total Drug Medicare Standardized Payment Amount |
2945.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5222 |
Number Of Medicare Beneficiaries With Medical Services |
618 |
Total Medical Submitted Charge Amount |
467671.5 |
Total Medical Medicare Allowed Amount |
323521.53 |
Total Medical Medicare Payment Amount |
236015.87 |
Total Medical Medicare Standardized Payment Amount |
250772.88 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
420 |
Number Of Black or African American Beneficiaries |
170 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5968 |