National Provider Identifier [NPI]: |
1750331203 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
MINESH |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
900 CUMMINGS CTR |
Street Address 2 Of The Provider |
SUITE 221U |
City Of The Provider |
BEVERLY |
Zip Code Of The Provider |
019156198 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
6250 |
Number Of Medicare Beneficiaries |
661 |
Total Submitted Charge Amount |
5493063 |
Total Medicare Allowed Amount |
512542.91 |
Total Medicare Payment Amount |
384926.15 |
Total Medicare Standardized Payment Amount |
353027.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1861 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
44210 |
Total Drug Medicare AllowedAmount |
5570.94 |
Total Drug Medicare PaymentAmount |
4323.73 |
Total Drug Medicare Standardized Payment Amount |
4323.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4389 |
Number Of Medicare Beneficiaries With Medical Services |
661 |
Total Medical Submitted Charge Amount |
5448853 |
Total Medical Medicare Allowed Amount |
506971.97 |
Total Medical Medicare Payment Amount |
380602.42 |
Total Medical Medicare Standardized Payment Amount |
348703.37 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
284 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
282 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3198 |