National Provider Identifier [NPI]: |
1306899422 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
KASHYAP |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 S ENOTA DR NE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013466 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
6621 |
Number Of Medicare Beneficiaries |
1664 |
Total Submitted Charge Amount |
1329611 |
Total Medicare Allowed Amount |
507445.66 |
Total Medicare Payment Amount |
375179.64 |
Total Medicare Standardized Payment Amount |
392383.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
187 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
24596 |
Total Drug Medicare AllowedAmount |
9956.62 |
Total Drug Medicare PaymentAmount |
7663.78 |
Total Drug Medicare Standardized Payment Amount |
7663.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
6434 |
Number Of Medicare Beneficiaries With Medical Services |
1664 |
Total Medical Submitted Charge Amount |
1305015 |
Total Medical Medicare Allowed Amount |
497489.04 |
Total Medical Medicare Payment Amount |
367515.86 |
Total Medical Medicare Standardized Payment Amount |
384719.95 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
668 |
Number Of Beneficiaries Age 75 to 84 |
589 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
798 |
Number Of Male Beneficiaries |
866 |
Number Of Non Hispanic White Beneficiaries |
1595 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.513 |