Medicare Facts for Dr. Falguni Patel, DO


National Provider Identifier [NPI]: 1710151725
Last Name Of The Provider PATEL
First Name Of The Provider FALGUNI
Middle Initial Of The Provider C
Credentials Of The Provider DO
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3456 BETHLEHEM PIKE
Street Address 2 Of The Provider
City Of The Provider SOUDERTON
Zip Code Of The Provider 189641051
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 682
Number Of Medicare Beneficiaries 254
Total Submitted Charge Amount 59221
Total Medicare Allowed Amount 51015.17
Total Medicare Payment Amount 39744.45
Total Medicare Standardized Payment Amount 38353.12
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 131
Number Of Medicare Beneficiaries With Drug Services 87
Total Drug Submitted ChargeAmount 12667
Total Drug Medicare AllowedAmount 10735.73
Total Drug Medicare PaymentAmount 10515.69
Total Drug Medicare Standardized Payment Amount 10515.69
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 22
Number Of Medical Services 551
Number Of Medicare Beneficiaries With Medical Services 254
Total Medical Submitted Charge Amount 46554
Total Medical Medicare Allowed Amount 40279.44
Total Medical Medicare Payment Amount 29228.76
Total Medical Medicare Standardized Payment Amount 27837.43
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 111
Number Of Beneficiaries Age 75 to 84 64
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 167
Number Of Male Beneficiaries 87
Number Of Non Hispanic White Beneficiaries 232
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 200
Number Of Beneficiaries With Medicare Medicaid Entitlement 54
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 28
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.0197

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