National Provider Identifier [NPI]: |
1972581015 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
MAHESHKUMAR |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MANCHESTER EXPY |
Street Address 2 Of The Provider |
STE 2001 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319046802 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5588 |
Number Of Medicare Beneficiaries |
1582 |
Total Submitted Charge Amount |
1474648.75 |
Total Medicare Allowed Amount |
590740.7 |
Total Medicare Payment Amount |
439218.43 |
Total Medicare Standardized Payment Amount |
459763.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
366 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
47864 |
Total Drug Medicare AllowedAmount |
19312.98 |
Total Drug Medicare PaymentAmount |
14788.1 |
Total Drug Medicare Standardized Payment Amount |
14788.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
5222 |
Number Of Medicare Beneficiaries With Medical Services |
1582 |
Total Medical Submitted Charge Amount |
1426784.75 |
Total Medical Medicare Allowed Amount |
571427.72 |
Total Medical Medicare Payment Amount |
424430.33 |
Total Medical Medicare Standardized Payment Amount |
444975.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
627 |
Number Of Beneficiaries Age 75 to 84 |
504 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
836 |
Number Of Male Beneficiaries |
746 |
Number Of Non Hispanic White Beneficiaries |
1069 |
Number Of Black or African American Beneficiaries |
457 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6504 |