National Provider Identifier [NPI]: |
1376587352 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SAURABH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
188 |
Number Of Services |
11512 |
Number Of Medicare Beneficiaries |
2880 |
Total Submitted Charge Amount |
952862 |
Total Medicare Allowed Amount |
202531.67 |
Total Medicare Payment Amount |
157314.72 |
Total Medicare Standardized Payment Amount |
141343.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7467 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
7692 |
Total Drug Medicare AllowedAmount |
1545.69 |
Total Drug Medicare PaymentAmount |
1203.66 |
Total Drug Medicare Standardized Payment Amount |
1203.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
186 |
Number Of Medical Services |
4045 |
Number Of Medicare Beneficiaries With Medical Services |
2880 |
Total Medical Submitted Charge Amount |
945170 |
Total Medical Medicare Allowed Amount |
200985.98 |
Total Medical Medicare Payment Amount |
156111.06 |
Total Medical Medicare Standardized Payment Amount |
140139.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
352 |
Number Of Beneficiaries Age 65 to 74 |
1115 |
Number Of Beneficiaries Age 75 to 84 |
835 |
Number Of Beneficiaries Age Greater 84 |
578 |
Number Of Female Beneficiaries |
1786 |
Number Of Male Beneficiaries |
1094 |
Number Of Non Hispanic White Beneficiaries |
2274 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
185 |
Number Of Hispanic Beneficiaries |
216 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
568 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6538 |