National Provider Identifier [NPI]: |
1386631901 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
RAVI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6501 TRUXTUN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933090633 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
257 |
Number Of Services |
149448 |
Number Of Medicare Beneficiaries |
1376 |
Total Submitted Charge Amount |
10165328 |
Total Medicare Allowed Amount |
3853429.7 |
Total Medicare Payment Amount |
3093277.22 |
Total Medicare Standardized Payment Amount |
3091043 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
81348 |
Number Of Medicare Beneficiaries With Drug Services |
589 |
Total Drug Submitted ChargeAmount |
109216 |
Total Drug Medicare AllowedAmount |
26384.99 |
Total Drug Medicare PaymentAmount |
20391.16 |
Total Drug Medicare Standardized Payment Amount |
20391.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
238 |
Number Of Medical Services |
68100 |
Number Of Medicare Beneficiaries With Medical Services |
1376 |
Total Medical Submitted Charge Amount |
10056112 |
Total Medical Medicare Allowed Amount |
3827044.71 |
Total Medical Medicare Payment Amount |
3072886.06 |
Total Medical Medicare Standardized Payment Amount |
3070651.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
630 |
Number Of Beneficiaries Age 75 to 84 |
465 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
921 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
1040 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
223 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1070 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
306 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.602 |