National Provider Identifier [NPI]: |
1154509735 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
ARPAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1365 WILEY RD |
Street Address 2 Of The Provider |
SUITE 153 |
City Of The Provider |
SCHAUMBURG |
Zip Code Of The Provider |
601734382 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5988 |
Number Of Medicare Beneficiaries |
345 |
Total Submitted Charge Amount |
1496309.98 |
Total Medicare Allowed Amount |
231527.82 |
Total Medicare Payment Amount |
178186.27 |
Total Medicare Standardized Payment Amount |
159862.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3827 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
137998.78 |
Total Drug Medicare AllowedAmount |
10227 |
Total Drug Medicare PaymentAmount |
7195.11 |
Total Drug Medicare Standardized Payment Amount |
7195.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
2161 |
Number Of Medicare Beneficiaries With Medical Services |
344 |
Total Medical Submitted Charge Amount |
1358311.2 |
Total Medical Medicare Allowed Amount |
221300.82 |
Total Medical Medicare Payment Amount |
170991.16 |
Total Medical Medicare Standardized Payment Amount |
152667.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
281 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3406 |