National Provider Identifier [NPI]: |
1215901632 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
BIPIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MANCHESTER EXPY |
Street Address 2 Of The Provider |
SUITE B-2 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
319046802 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
4524 |
Number Of Medicare Beneficiaries |
1307 |
Total Submitted Charge Amount |
596913.25 |
Total Medicare Allowed Amount |
326262.95 |
Total Medicare Payment Amount |
244686.57 |
Total Medicare Standardized Payment Amount |
262655.51 |
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 |
46 |
Number Of Medical Services |
4524 |
Number Of Medicare Beneficiaries With Medical Services |
1307 |
Total Medical Submitted Charge Amount |
596913.25 |
Total Medical Medicare Allowed Amount |
326262.95 |
Total Medical Medicare Payment Amount |
244686.57 |
Total Medical Medicare Standardized Payment Amount |
262655.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
514 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
698 |
Number Of Male Beneficiaries |
609 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
329 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1043 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8797 |