National Provider Identifier [NPI]: |
1881684124 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SAUMIL |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
160 KINGSLEY LN |
Street Address 2 Of The Provider |
SUITE 100 A |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235054600 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
2558 |
Number Of Medicare Beneficiaries |
889 |
Total Submitted Charge Amount |
605936 |
Total Medicare Allowed Amount |
206048.03 |
Total Medicare Payment Amount |
156114.07 |
Total Medicare Standardized Payment Amount |
160461.96 |
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 |
62 |
Number Of Medical Services |
2558 |
Number Of Medicare Beneficiaries With Medical Services |
889 |
Total Medical Submitted Charge Amount |
605936 |
Total Medical Medicare Allowed Amount |
206048.03 |
Total Medical Medicare Payment Amount |
156114.07 |
Total Medical Medicare Standardized Payment Amount |
160461.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
190 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
562 |
Number Of Black or African American Beneficiaries |
278 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.7509 |