National Provider Identifier [NPI]: |
1457494379 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 HWY-6 |
Street Address 2 Of The Provider |
SUITE-174 |
City Of The Provider |
SUGAR LAND |
Zip Code Of The Provider |
77478 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
4688 |
Number Of Medicare Beneficiaries |
765 |
Total Submitted Charge Amount |
826140 |
Total Medicare Allowed Amount |
382412.44 |
Total Medicare Payment Amount |
292044.78 |
Total Medicare Standardized Payment Amount |
240786.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
630 |
Total Drug Medicare AllowedAmount |
214.8 |
Total Drug Medicare PaymentAmount |
210.48 |
Total Drug Medicare Standardized Payment Amount |
210.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4674 |
Number Of Medicare Beneficiaries With Medical Services |
765 |
Total Medical Submitted Charge Amount |
825510 |
Total Medical Medicare Allowed Amount |
382197.64 |
Total Medical Medicare Payment Amount |
291834.3 |
Total Medical Medicare Standardized Payment Amount |
240576.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
283 |
Number Of AsianPacific Islander Beneficiaries |
110 |
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
438 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
327 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5931 |