National Provider Identifier [NPI]: |
1548238660 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
DILIP |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3400 W BALL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANAHEIM |
Zip Code Of The Provider |
928043737 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
3235 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
352526 |
Total Medicare Allowed Amount |
319299.44 |
Total Medicare Payment Amount |
243544.96 |
Total Medicare Standardized Payment Amount |
228934.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
214 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
6776 |
Total Drug Medicare AllowedAmount |
3017.82 |
Total Drug Medicare PaymentAmount |
2946.98 |
Total Drug Medicare Standardized Payment Amount |
2946.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3021 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
345750 |
Total Medical Medicare Allowed Amount |
316281.62 |
Total Medical Medicare Payment Amount |
240597.98 |
Total Medical Medicare Standardized Payment Amount |
225987.81 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
187 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
151 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
336 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9964 |