National Provider Identifier [NPI]: |
1720109598 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
RAKESH |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 W EAU GALLIE BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329353165 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
9905 |
Number Of Medicare Beneficiaries |
1428 |
Total Submitted Charge Amount |
2060110.9 |
Total Medicare Allowed Amount |
720834.29 |
Total Medicare Payment Amount |
559475.56 |
Total Medicare Standardized Payment Amount |
563303.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5109 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
8408.7 |
Total Drug Medicare AllowedAmount |
1096.41 |
Total Drug Medicare PaymentAmount |
859.4 |
Total Drug Medicare Standardized Payment Amount |
859.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
4796 |
Number Of Medicare Beneficiaries With Medical Services |
1428 |
Total Medical Submitted Charge Amount |
2051702.2 |
Total Medical Medicare Allowed Amount |
719737.88 |
Total Medical Medicare Payment Amount |
558616.16 |
Total Medical Medicare Standardized Payment Amount |
562443.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
455 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
750 |
Number Of Male Beneficiaries |
678 |
Number Of Non Hispanic White Beneficiaries |
1227 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9745 |