National Provider Identifier [NPI]: |
1194746842 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
HEMANT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1968 N GAREY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
POMONA |
Zip Code Of The Provider |
917672753 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2445 |
Number Of Medicare Beneficiaries |
184 |
Total Submitted Charge Amount |
299755 |
Total Medicare Allowed Amount |
189491.82 |
Total Medicare Payment Amount |
138255.22 |
Total Medicare Standardized Payment Amount |
127001.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
5375 |
Total Drug Medicare AllowedAmount |
2176.23 |
Total Drug Medicare PaymentAmount |
2131.89 |
Total Drug Medicare Standardized Payment Amount |
2131.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2313 |
Number Of Medicare Beneficiaries With Medical Services |
184 |
Total Medical Submitted Charge Amount |
294380 |
Total Medical Medicare Allowed Amount |
187315.59 |
Total Medical Medicare Payment Amount |
136123.33 |
Total Medical Medicare Standardized Payment Amount |
124869.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
56 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
92 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
32 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
37 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
63 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
24 |
Percent Of With Hypertension |
39 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3845 |