National Provider Identifier [NPI]: |
1124190079 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
PREETESH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1295 HEMBREE ROAD |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
ROSWELL |
Zip Code Of The Provider |
300763809 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2987 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
1621069.42 |
Total Medicare Allowed Amount |
303033.57 |
Total Medicare Payment Amount |
225645.15 |
Total Medicare Standardized Payment Amount |
186247.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1535 |
Total Drug Medicare AllowedAmount |
170.94 |
Total Drug Medicare PaymentAmount |
129.5 |
Total Drug Medicare Standardized Payment Amount |
129.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2949 |
Number Of Medicare Beneficiaries With Medical Services |
403 |
Total Medical Submitted Charge Amount |
1619534.42 |
Total Medical Medicare Allowed Amount |
302862.63 |
Total Medical Medicare Payment Amount |
225515.65 |
Total Medical Medicare Standardized Payment Amount |
186117.79 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
343 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3885 |