National Provider Identifier [NPI]: |
1083664015 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
UJJAVAL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5701 W 119TH ST |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662093722 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
4244 |
Number Of Medicare Beneficiaries |
1880 |
Total Submitted Charge Amount |
645415 |
Total Medicare Allowed Amount |
239744.52 |
Total Medicare Payment Amount |
179098.96 |
Total Medicare Standardized Payment Amount |
188900.56 |
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 |
93 |
Number Of Medical Services |
4244 |
Number Of Medicare Beneficiaries With Medical Services |
1880 |
Total Medical Submitted Charge Amount |
645415 |
Total Medical Medicare Allowed Amount |
239744.52 |
Total Medical Medicare Payment Amount |
179098.96 |
Total Medical Medicare Standardized Payment Amount |
188900.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
263 |
Number Of Beneficiaries Age 65 to 74 |
618 |
Number Of Beneficiaries Age 75 to 84 |
560 |
Number Of Beneficiaries Age Greater 84 |
439 |
Number Of Female Beneficiaries |
1044 |
Number Of Male Beneficiaries |
836 |
Number Of Non Hispanic White Beneficiaries |
1659 |
Number Of Black or African American Beneficiaries |
150 |
Number Of AsianPacific Islander Beneficiaries |
27 |
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 |
1615 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7704 |