National Provider Identifier [NPI]: |
1427184175 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
PRANAV |
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 |
101 THE CITY DR S |
Street Address 2 Of The Provider |
BUILDING 53 |
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
928683201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
3123 |
Number Of Medicare Beneficiaries |
1498 |
Total Submitted Charge Amount |
531470 |
Total Medicare Allowed Amount |
191067.68 |
Total Medicare Payment Amount |
145679.31 |
Total Medicare Standardized Payment Amount |
137726.26 |
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 |
67 |
Number Of Medical Services |
3123 |
Number Of Medicare Beneficiaries With Medical Services |
1498 |
Total Medical Submitted Charge Amount |
531470 |
Total Medical Medicare Allowed Amount |
191067.68 |
Total Medical Medicare Payment Amount |
145679.31 |
Total Medical Medicare Standardized Payment Amount |
137726.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
256 |
Number Of Beneficiaries Age 65 to 74 |
557 |
Number Of Beneficiaries Age 75 to 84 |
453 |
Number Of Beneficiaries Age Greater 84 |
232 |
Number Of Female Beneficiaries |
737 |
Number Of Male Beneficiaries |
761 |
Number Of Non Hispanic White Beneficiaries |
804 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
321 |
Number Of Hispanic Beneficiaries |
295 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
777 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
721 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2494 |