National Provider Identifier [NPI]: |
1033189584 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9980 CENTRAL PARK BLVD N |
Street Address 2 Of The Provider |
SUITE 216 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334281762 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
146218 |
Number Of Medicare Beneficiaries |
585 |
Total Submitted Charge Amount |
3856275.31 |
Total Medicare Allowed Amount |
1544382.1 |
Total Medicare Payment Amount |
1206195.11 |
Total Medicare Standardized Payment Amount |
1188823.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
136719 |
Number Of Medicare Beneficiaries With Drug Services |
214 |
Total Drug Submitted ChargeAmount |
3081116.73 |
Total Drug Medicare AllowedAmount |
1136031.01 |
Total Drug Medicare PaymentAmount |
888135.38 |
Total Drug Medicare Standardized Payment Amount |
888135.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
9499 |
Number Of Medicare Beneficiaries With Medical Services |
585 |
Total Medical Submitted Charge Amount |
775158.58 |
Total Medical Medicare Allowed Amount |
408351.09 |
Total Medical Medicare Payment Amount |
318059.73 |
Total Medical Medicare Standardized Payment Amount |
300687.85 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2566 |