National Provider Identifier [NPI]: |
1841298221 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
BIMAL |
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 |
4721 DALLAS RANCH ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANTIOCH |
Zip Code Of The Provider |
94531 |
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 |
150 |
Number Of Services |
148842 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
7112905.19 |
Total Medicare Allowed Amount |
2301604.06 |
Total Medicare Payment Amount |
1805922.36 |
Total Medicare Standardized Payment Amount |
1746849.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
135317 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
4688109.36 |
Total Drug Medicare AllowedAmount |
1522612.69 |
Total Drug Medicare PaymentAmount |
1191815.8 |
Total Drug Medicare Standardized Payment Amount |
1191815.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
13525 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
2424795.83 |
Total Medical Medicare Allowed Amount |
778991.37 |
Total Medical Medicare Payment Amount |
614106.56 |
Total Medical Medicare Standardized Payment Amount |
555033.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
493 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
112 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8868 |