National Provider Identifier [NPI]: |
1356395388 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ARATI |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 HOSPITAL RD |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
PRINCE FREDERICK |
Zip Code Of The Provider |
20678 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
14247 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
611890.38 |
Total Medicare Allowed Amount |
402588.17 |
Total Medicare Payment Amount |
304595.65 |
Total Medicare Standardized Payment Amount |
303422.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
12631 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
323249.28 |
Total Drug Medicare AllowedAmount |
271012.65 |
Total Drug Medicare PaymentAmount |
209416.38 |
Total Drug Medicare Standardized Payment Amount |
209416.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1616 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
288641.1 |
Total Medical Medicare Allowed Amount |
131575.52 |
Total Medical Medicare Payment Amount |
95179.27 |
Total Medical Medicare Standardized Payment Amount |
94005.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
334 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4511 |