National Provider Identifier [NPI]: |
1093770018 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
HARSHAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
207 EAST GRAND AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RAINBOW CITY |
Zip Code Of The Provider |
53906 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
7848 |
Number Of Medicare Beneficiaries |
632 |
Total Submitted Charge Amount |
550378 |
Total Medicare Allowed Amount |
353482.31 |
Total Medicare Payment Amount |
259627.61 |
Total Medicare Standardized Payment Amount |
246275.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1417 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
27201 |
Total Drug Medicare AllowedAmount |
14734.35 |
Total Drug Medicare PaymentAmount |
12113.61 |
Total Drug Medicare Standardized Payment Amount |
12113.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
6431 |
Number Of Medicare Beneficiaries With Medical Services |
632 |
Total Medical Submitted Charge Amount |
523177 |
Total Medical Medicare Allowed Amount |
338747.96 |
Total Medical Medicare Payment Amount |
247514 |
Total Medical Medicare Standardized Payment Amount |
234161.69 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
554 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
192 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1164 |