National Provider Identifier [NPI]: |
1336135102 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
PRASHANT |
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 |
501 SE OSCEOLA ST |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
STUART |
Zip Code Of The Provider |
349942301 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
486670 |
Number Of Medicare Beneficiaries |
822 |
Total Submitted Charge Amount |
15201928.87 |
Total Medicare Allowed Amount |
6517000.57 |
Total Medicare Payment Amount |
5102053.02 |
Total Medicare Standardized Payment Amount |
5068088.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
468942 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
13589050.01 |
Total Drug Medicare AllowedAmount |
5728753.96 |
Total Drug Medicare PaymentAmount |
4488717.39 |
Total Drug Medicare Standardized Payment Amount |
4488717.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
17728 |
Number Of Medicare Beneficiaries With Medical Services |
822 |
Total Medical Submitted Charge Amount |
1612878.86 |
Total Medical Medicare Allowed Amount |
788246.61 |
Total Medical Medicare Payment Amount |
613335.63 |
Total Medical Medicare Standardized Payment Amount |
579370.95 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
421 |
Number Of Male Beneficiaries |
401 |
Number Of Non Hispanic White Beneficiaries |
733 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
730 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1617 |