National Provider Identifier [NPI]: |
1104827823 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1055 S BRADFORD STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOVER |
Zip Code Of The Provider |
19904 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3327 |
Number Of Medicare Beneficiaries |
650 |
Total Submitted Charge Amount |
290386 |
Total Medicare Allowed Amount |
244513.82 |
Total Medicare Payment Amount |
176219.14 |
Total Medicare Standardized Payment Amount |
174463.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
228 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
4560 |
Total Drug Medicare AllowedAmount |
2745.12 |
Total Drug Medicare PaymentAmount |
2666.8 |
Total Drug Medicare Standardized Payment Amount |
2666.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3099 |
Number Of Medicare Beneficiaries With Medical Services |
650 |
Total Medical Submitted Charge Amount |
285826 |
Total Medical Medicare Allowed Amount |
241768.7 |
Total Medical Medicare Payment Amount |
173552.34 |
Total Medical Medicare Standardized Payment Amount |
171797.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
426 |
Number Of Black or African American Beneficiaries |
169 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4143 |