Nimitt Patel MD

Gender: M
Medical School: Other
Graduation Year: 2005
Primary Specialty: General Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted56
Total Provider Services574
Total Medicare beneficiaries receiving the provider services239
The total charges that the provider submitted for all services$298,168.90
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$86,689.04
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$67,271.78
Total Medicare Standardized Payment Amount$68,285.85
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services56
Total medical (non-ASP) services574
Total Medicare beneficiaries receiving medical (non-ASP) services239
The total charges that the provider submitted for medical services (non-ASP)$298,168.90
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$86,689.04
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$67,271.78
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$68,285.85
Average age of beneficiaries71
Number of beneficiaries under the age of 6561
Number of beneficiaries between the ages of 65 and 7484
Number of beneficiaries between the ages of 75 and 8453
Number of beneficiaries over the age of 8441
Number of Female beneficiaries112
Number of Male Beneficiaries127
Number of Non-Hispanic White Beneficiaries178
Number of Black or African American Beneficiaries44
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year140
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits99
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma11%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis65%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke20%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.1474

Source: data.cms.gov

Nimitt Patel MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Initial hospital inpatient care, typically 30 minutes per day 12 12 12 $100.76 $310.0 $79.0 392%
Initial hospital inpatient care, typically 50 minutes per day 15 14 15 $135.79 $389.0 $99.36 391%
Initial hospital inpatient care, typically 70 minutes per day 31 31 31 $200.98 $490.0 $157.42 311%
Subsequent hospital inpatient care, typically 15 minutes per day 92 56 92 $38.98 $134.0 $30.29 442%
Subsequent hospital inpatient care, typically 25 minutes per day 109 71 109 $71.56 $184.0 $55.82 330%
Subsequent hospital inpatient care, typically 35 minutes per day 67 42 67 $103.48 $292.0 $79.52 367%
Hospital discharge day management, 30 minutes or less 34 34 34 $71.54 $218.0 $56.09 389%
Emergency department visit, moderately severe problem 11 11 11 $61.95 $222.0 $48.57 457%
Emergency department visit, problem of high severity 20 20 20 $117.58 $306.0 $92.18 332%
Critical care delivery critically ill or injured patient, first 30-74 minutes 80 36 80 $222.59 $802.0 $170.92 469%
Source: 2017 Provider CMS Charge Data