National Provider Identifier [NPI]: |
1306874854 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ATUL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10701 NALL AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662111231 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
84275 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
1831667.66 |
Total Medicare Allowed Amount |
641860.45 |
Total Medicare Payment Amount |
495577.24 |
Total Medicare Standardized Payment Amount |
495095.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
82339 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
666072 |
Total Drug Medicare AllowedAmount |
450619.3 |
Total Drug Medicare PaymentAmount |
352268.68 |
Total Drug Medicare Standardized Payment Amount |
352268.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1936 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
1165595.66 |
Total Medical Medicare Allowed Amount |
191241.15 |
Total Medical Medicare Payment Amount |
143308.56 |
Total Medical Medicare Standardized Payment Amount |
142827.24 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
457 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1878 |