National Provider Identifier [NPI]: |
1831288448 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SUGAT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6655 POST RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUBLIN |
Zip Code Of The Provider |
430168214 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
9133 |
Number Of Medicare Beneficiaries |
1028 |
Total Submitted Charge Amount |
3536254 |
Total Medicare Allowed Amount |
1948364.3 |
Total Medicare Payment Amount |
1488084.9 |
Total Medicare Standardized Payment Amount |
1513099.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2954 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
1588250 |
Total Drug Medicare AllowedAmount |
1278680.26 |
Total Drug Medicare PaymentAmount |
995802.92 |
Total Drug Medicare Standardized Payment Amount |
995802.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
6179 |
Number Of Medicare Beneficiaries With Medical Services |
1028 |
Total Medical Submitted Charge Amount |
1948004 |
Total Medical Medicare Allowed Amount |
669684.04 |
Total Medical Medicare Payment Amount |
492281.98 |
Total Medical Medicare Standardized Payment Amount |
517297.06 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
411 |
Number Of Non Hispanic White Beneficiaries |
910 |
Number Of Black or African American Beneficiaries |
78 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
887 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4066 |