National Provider Identifier [NPI]: |
1477628840 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ARUN |
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 |
907 W WILSHIRE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FULLERTON |
Zip Code Of The Provider |
92832 |
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 |
66 |
Number Of Services |
13853 |
Number Of Medicare Beneficiaries |
488 |
Total Submitted Charge Amount |
1734564 |
Total Medicare Allowed Amount |
788592.6 |
Total Medicare Payment Amount |
610730.59 |
Total Medicare Standardized Payment Amount |
550652.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
299 |
Number Of Medicare Beneficiaries With Drug Services |
222 |
Total Drug Submitted ChargeAmount |
10505 |
Total Drug Medicare AllowedAmount |
5127.24 |
Total Drug Medicare PaymentAmount |
4978.2 |
Total Drug Medicare Standardized Payment Amount |
4978.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
13554 |
Number Of Medicare Beneficiaries With Medical Services |
488 |
Total Medical Submitted Charge Amount |
1724059 |
Total Medical Medicare Allowed Amount |
783465.36 |
Total Medical Medicare Payment Amount |
605752.39 |
Total Medical Medicare Standardized Payment Amount |
545673.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
156 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
185 |
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
289 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3762 |