National Provider Identifier [NPI]: |
1730134818 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
HARISH |
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 |
4111 S DARLINGTON AVE |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741356348 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
5067 |
Number Of Medicare Beneficiaries |
3813 |
Total Submitted Charge Amount |
467975.5 |
Total Medicare Allowed Amount |
152155.98 |
Total Medicare Payment Amount |
113994.34 |
Total Medicare Standardized Payment Amount |
120737.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
168 |
Number Of Medical Services |
5067 |
Number Of Medicare Beneficiaries With Medical Services |
3813 |
Total Medical Submitted Charge Amount |
467975.5 |
Total Medical Medicare Allowed Amount |
152155.98 |
Total Medical Medicare Payment Amount |
113994.34 |
Total Medical Medicare Standardized Payment Amount |
120737.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
689 |
Number Of Beneficiaries Age 65 to 74 |
1515 |
Number Of Beneficiaries Age 75 to 84 |
1116 |
Number Of Beneficiaries Age Greater 84 |
493 |
Number Of Female Beneficiaries |
2139 |
Number Of Male Beneficiaries |
1674 |
Number Of Non Hispanic White Beneficiaries |
3194 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
310 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
3039 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
774 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6457 |