National Provider Identifier [NPI]: |
1972796985 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
NAYANKUMAR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1126 SLIDE ROAD |
Street Address 2 Of The Provider |
SUITE 4B |
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794075402 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
5170 |
Number Of Medicare Beneficiaries |
1040 |
Total Submitted Charge Amount |
618800 |
Total Medicare Allowed Amount |
531767.98 |
Total Medicare Payment Amount |
403287.54 |
Total Medicare Standardized Payment Amount |
421915.92 |
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 |
28 |
Number Of Medical Services |
5170 |
Number Of Medicare Beneficiaries With Medical Services |
1040 |
Total Medical Submitted Charge Amount |
618800 |
Total Medical Medicare Allowed Amount |
531767.98 |
Total Medical Medicare Payment Amount |
403287.54 |
Total Medical Medicare Standardized Payment Amount |
421915.92 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
315 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
525 |
Number Of Non Hispanic White Beneficiaries |
633 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
334 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
731 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
3.3722 |