National Provider Identifier [NPI]: |
1780632828 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
TARAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3100 PLAZA PROPERTIES BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432191531 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
156178 |
Number Of Medicare Beneficiaries |
370 |
Total Submitted Charge Amount |
5784401 |
Total Medicare Allowed Amount |
1865858.9 |
Total Medicare Payment Amount |
1456144.85 |
Total Medicare Standardized Payment Amount |
1470364.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
140742 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
4615472 |
Total Drug Medicare AllowedAmount |
1527715.42 |
Total Drug Medicare PaymentAmount |
1188619.82 |
Total Drug Medicare Standardized Payment Amount |
1188619.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
15436 |
Number Of Medicare Beneficiaries With Medical Services |
370 |
Total Medical Submitted Charge Amount |
1168929 |
Total Medical Medicare Allowed Amount |
338143.48 |
Total Medical Medicare Payment Amount |
267525.03 |
Total Medical Medicare Standardized Payment Amount |
281745 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
60 |
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 |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.078 |