National Provider Identifier [NPI]: |
1457408254 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
MANISH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N CATTLEMEN RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326422 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
79415 |
Number Of Medicare Beneficiaries |
391 |
Total Submitted Charge Amount |
2470187 |
Total Medicare Allowed Amount |
972435.63 |
Total Medicare Payment Amount |
768716.87 |
Total Medicare Standardized Payment Amount |
768064.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
70561 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
1742404 |
Total Drug Medicare AllowedAmount |
711133.42 |
Total Drug Medicare PaymentAmount |
557121.77 |
Total Drug Medicare Standardized Payment Amount |
557121.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
8854 |
Number Of Medicare Beneficiaries With Medical Services |
391 |
Total Medical Submitted Charge Amount |
727783 |
Total Medical Medicare Allowed Amount |
261302.21 |
Total Medical Medicare Payment Amount |
211595.1 |
Total Medical Medicare Standardized Payment Amount |
210942.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
366 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.2765 |