Medicare Facts for Dr. Nirali Patel, MD


National Provider Identifier [NPI]: 1841256948
Last Name Of The Provider PATEL
First Name Of The Provider NIRALI
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 600 COFFEE RD
Street Address 2 Of The Provider
City Of The Provider MODESTO
Zip Code Of The Provider 953554201
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 3973
Number Of Medicare Beneficiaries 708
Total Submitted Charge Amount 596167
Total Medicare Allowed Amount 235380.65
Total Medicare Payment Amount 167238.18
Total Medicare Standardized Payment Amount 164530.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 2116
Number Of Medicare Beneficiaries With Drug Services 32
Total Drug Submitted ChargeAmount 78610
Total Drug Medicare AllowedAmount 33115.09
Total Drug Medicare PaymentAmount 25436.05
Total Drug Medicare Standardized Payment Amount 25436.05
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 15
Number Of Medical Services 1857
Number Of Medicare Beneficiaries With Medical Services 708
Total Medical Submitted Charge Amount 517557
Total Medical Medicare Allowed Amount 202265.56
Total Medical Medicare Payment Amount 141802.13
Total Medical Medicare Standardized Payment Amount 139094.72
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 157
Number Of Beneficiaries Age 65 to 74 326
Number Of Beneficiaries Age 75 to 84 168
Number Of Beneficiaries Age Greater 84 57
Number Of Female Beneficiaries 430
Number Of Male Beneficiaries 278
Number Of Non Hispanic White Beneficiaries 478
Number Of Black or African American Beneficiaries 24
Number Of AsianPacific Islander Beneficiaries 44
Number Of Hispanic Beneficiaries 138
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 440
Number Of Beneficiaries With Medicare Medicaid Entitlement 268
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 7
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 54
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 25
Percent Of With Diabetes 70
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.6243

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