National Provider Identifier [NPI]: |
1558352534 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2112 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176012644 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5317 |
Number Of Medicare Beneficiaries |
1651 |
Total Submitted Charge Amount |
1198509.11 |
Total Medicare Allowed Amount |
333218.22 |
Total Medicare Payment Amount |
249619.08 |
Total Medicare Standardized Payment Amount |
264452.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
397 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
92500 |
Total Drug Medicare AllowedAmount |
19965.56 |
Total Drug Medicare PaymentAmount |
15652.9 |
Total Drug Medicare Standardized Payment Amount |
15652.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
4920 |
Number Of Medicare Beneficiaries With Medical Services |
1651 |
Total Medical Submitted Charge Amount |
1106009.11 |
Total Medical Medicare Allowed Amount |
313252.66 |
Total Medical Medicare Payment Amount |
233966.18 |
Total Medical Medicare Standardized Payment Amount |
248799.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
445 |
Number Of Beneficiaries Age 75 to 84 |
567 |
Number Of Beneficiaries Age Greater 84 |
464 |
Number Of Female Beneficiaries |
882 |
Number Of Male Beneficiaries |
769 |
Number Of Non Hispanic White Beneficiaries |
1522 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1393 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5915 |