National Provider Identifier [NPI]: |
1386746931 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15025 INNOVATION DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921283409 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4452 |
Number Of Medicare Beneficiaries |
2132 |
Total Submitted Charge Amount |
1070659.8 |
Total Medicare Allowed Amount |
327054.95 |
Total Medicare Payment Amount |
241137.56 |
Total Medicare Standardized Payment Amount |
233929.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
837 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
105573.8 |
Total Drug Medicare AllowedAmount |
43182.26 |
Total Drug Medicare PaymentAmount |
33450.54 |
Total Drug Medicare Standardized Payment Amount |
33450.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3615 |
Number Of Medicare Beneficiaries With Medical Services |
2131 |
Total Medical Submitted Charge Amount |
965086 |
Total Medical Medicare Allowed Amount |
283872.69 |
Total Medical Medicare Payment Amount |
207687.02 |
Total Medical Medicare Standardized Payment Amount |
200479.2 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
899 |
Number Of Beneficiaries Age 75 to 84 |
750 |
Number Of Beneficiaries Age Greater 84 |
387 |
Number Of Female Beneficiaries |
1016 |
Number Of Male Beneficiaries |
1116 |
Number Of Non Hispanic White Beneficiaries |
1772 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
123 |
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
82 |
Number Of Beneficiaries With Medicare Only Entitlement |
1930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4073 |