National Provider Identifier [NPI]: |
1366542110 |
Last Name Of The Provider |
PATEL |
First Name Of The Provider |
SHEERIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8483 S US 1 |
Street Address 2 Of The Provider |
SUITE 19 |
City Of The Provider |
PORT ST LUCIE |
Zip Code Of The Provider |
34952 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
3251 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
754555 |
Total Medicare Allowed Amount |
391281.33 |
Total Medicare Payment Amount |
305014.73 |
Total Medicare Standardized Payment Amount |
291544 |
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 |
19 |
Number Of Medical Services |
3251 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
754555 |
Total Medical Medicare Allowed Amount |
391281.33 |
Total Medical Medicare Payment Amount |
305014.73 |
Total Medical Medicare Standardized Payment Amount |
291544 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
311 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
519 |
Number Of Non Hispanic White Beneficiaries |
937 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0358 |