National Provider Identifier [NPI]: |
1154482131 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SATYEN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
SATYEN PATEL |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4550 MEMORIAL DR |
Street Address 2 Of The Provider |
STE. 340 |
City Of The Provider |
BELLEVILLE |
Zip Code Of The Provider |
622265372 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
1144 |
Number Of Medicare Beneficiaries |
946 |
Total Submitted Charge Amount |
568554 |
Total Medicare Allowed Amount |
233295.47 |
Total Medicare Payment Amount |
181622.09 |
Total Medicare Standardized Payment Amount |
177144.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1144 |
Number Of Medicare Beneficiaries With Medical Services |
946 |
Total Medical Submitted Charge Amount |
568554 |
Total Medical Medicare Allowed Amount |
233295.47 |
Total Medical Medicare Payment Amount |
181622.09 |
Total Medical Medicare Standardized Payment Amount |
177144.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
729 |
Number Of Black or African American Beneficiaries |
190 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2727 |