National Provider Identifier [NPI]: |
1841389665 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
RUPAL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 BINZ ST STE 1180 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770046951 |
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 |
53 |
Number Of Services |
9668 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
11311754.38 |
Total Medicare Allowed Amount |
2291913.6 |
Total Medicare Payment Amount |
1784566.92 |
Total Medicare Standardized Payment Amount |
1783808.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3492 |
Number Of Medicare Beneficiaries With Drug Services |
315 |
Total Drug Submitted ChargeAmount |
7185.46 |
Total Drug Medicare AllowedAmount |
1600.78 |
Total Drug Medicare PaymentAmount |
1253.08 |
Total Drug Medicare Standardized Payment Amount |
1253.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
6176 |
Number Of Medicare Beneficiaries With Medical Services |
739 |
Total Medical Submitted Charge Amount |
11304568.92 |
Total Medical Medicare Allowed Amount |
2290312.82 |
Total Medical Medicare Payment Amount |
1783313.84 |
Total Medical Medicare Standardized Payment Amount |
1782555.66 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
401 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
117 |
Number Of Black or African American Beneficiaries |
404 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
187 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
415 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
6.6289 |