National Provider Identifier [NPI]: |
1740388396 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
NIKUNJKUMAR |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 N 18TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796012932 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
4826 |
Number Of Medicare Beneficiaries |
1852 |
Total Submitted Charge Amount |
1210555 |
Total Medicare Allowed Amount |
450993.11 |
Total Medicare Payment Amount |
337830.28 |
Total Medicare Standardized Payment Amount |
358310.31 |
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 |
89 |
Number Of Medical Services |
4826 |
Number Of Medicare Beneficiaries With Medical Services |
1852 |
Total Medical Submitted Charge Amount |
1210555 |
Total Medical Medicare Allowed Amount |
450993.11 |
Total Medical Medicare Payment Amount |
337830.28 |
Total Medical Medicare Standardized Payment Amount |
358310.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
653 |
Number Of Beneficiaries Age 75 to 84 |
674 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
967 |
Number Of Male Beneficiaries |
885 |
Number Of Non Hispanic White Beneficiaries |
1569 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
199 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
438 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6115 |