National Provider Identifier [NPI]: |
1104999036 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
NACHIKET |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE B9 |
City Of The Provider |
TOMS RIVER |
Zip Code Of The Provider |
087556425 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
4073 |
Number Of Medicare Beneficiaries |
1178 |
Total Submitted Charge Amount |
438799.4 |
Total Medicare Allowed Amount |
339752.64 |
Total Medicare Payment Amount |
260861.36 |
Total Medicare Standardized Payment Amount |
221355 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4073 |
Number Of Medicare Beneficiaries With Medical Services |
1178 |
Total Medical Submitted Charge Amount |
438799.4 |
Total Medical Medicare Allowed Amount |
339752.64 |
Total Medical Medicare Payment Amount |
260861.36 |
Total Medical Medicare Standardized Payment Amount |
221355 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
380 |
Number Of Beneficiaries Age Greater 84 |
369 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
507 |
Number Of Non Hispanic White Beneficiaries |
1074 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
981 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1905 |