National Provider Identifier [NPI]: |
1962412809 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
RAJESH |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
617 E BROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUFAULA |
Zip Code Of The Provider |
360271710 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2139 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
252599.3 |
Total Medicare Allowed Amount |
108678.82 |
Total Medicare Payment Amount |
74444.16 |
Total Medicare Standardized Payment Amount |
80816.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
487 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
29151 |
Total Drug Medicare AllowedAmount |
9625.79 |
Total Drug Medicare PaymentAmount |
8315.33 |
Total Drug Medicare Standardized Payment Amount |
8315.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
1652 |
Number Of Medicare Beneficiaries With Medical Services |
260 |
Total Medical Submitted Charge Amount |
223448.3 |
Total Medical Medicare Allowed Amount |
99053.03 |
Total Medical Medicare Payment Amount |
66128.83 |
Total Medical Medicare Standardized Payment Amount |
72501.16 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
138 |
Number Of Black or African American Beneficiaries |
|
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 |
157 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3158 |