National Provider Identifier [NPI]: |
1114068871 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
JIGAR |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 SE 17TH ST |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344714191 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1679 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
463090.01 |
Total Medicare Allowed Amount |
198945.74 |
Total Medicare Payment Amount |
155636.96 |
Total Medicare Standardized Payment Amount |
154796.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
7208 |
Total Drug Medicare AllowedAmount |
3593.12 |
Total Drug Medicare PaymentAmount |
2817.07 |
Total Drug Medicare Standardized Payment Amount |
2817.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
1611 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
455882.01 |
Total Medical Medicare Allowed Amount |
195352.62 |
Total Medical Medicare Payment Amount |
152819.89 |
Total Medical Medicare Standardized Payment Amount |
151979.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
41 |
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 |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6523 |