National Provider Identifier [NPI]: |
1811146236 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
UMESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 WESTAGE BUSINESS CTR DR |
Street Address 2 Of The Provider |
SUITE 115 |
City Of The Provider |
FISHKILL |
Zip Code Of The Provider |
125242264 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
15732 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
320419.45 |
Total Medicare Allowed Amount |
214186.2 |
Total Medicare Payment Amount |
162227.43 |
Total Medicare Standardized Payment Amount |
157047.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
14455 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
118218.53 |
Total Drug Medicare AllowedAmount |
89741.47 |
Total Drug Medicare PaymentAmount |
70330.63 |
Total Drug Medicare Standardized Payment Amount |
70330.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
1277 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
202200.92 |
Total Medical Medicare Allowed Amount |
124444.73 |
Total Medical Medicare Payment Amount |
91896.8 |
Total Medical Medicare Standardized Payment Amount |
86716.93 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
380 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
416 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3229 |