National Provider Identifier [NPI]: |
1477689792 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SNEHAL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
STE 360 |
City Of The Provider |
MIDDLETOWN |
Zip Code Of The Provider |
450055200 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
16673 |
Number Of Medicare Beneficiaries |
757 |
Total Submitted Charge Amount |
2855916.6 |
Total Medicare Allowed Amount |
860169.31 |
Total Medicare Payment Amount |
664859.76 |
Total Medicare Standardized Payment Amount |
708712.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13751 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
33255.6 |
Total Drug Medicare AllowedAmount |
2726.18 |
Total Drug Medicare PaymentAmount |
2131.59 |
Total Drug Medicare Standardized Payment Amount |
2131.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
2922 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
2822661 |
Total Medical Medicare Allowed Amount |
857443.13 |
Total Medical Medicare Payment Amount |
662728.17 |
Total Medical Medicare Standardized Payment Amount |
706580.88 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
530 |
Number Of Black or African American Beneficiaries |
214 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
295 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
5.3619 |