| National Provider Identifier [NPI]: | 1174513253 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | ANIL |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1075 SKYE LN |
| Street Address 2 Of The Provider | |
| City Of The Provider | PALM HARBOR |
| Zip Code Of The Provider | 346831456 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 227 |
| Number Of Services | 13539 |
| Number Of Medicare Beneficiaries | 4386 |
| Total Submitted Charge Amount | 1225966.86 |
| Total Medicare Allowed Amount | 279375.88 |
| Total Medicare Payment Amount | 213791.37 |
| Total Medicare Standardized Payment Amount | 215778.89 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7090 |
| Number Of Medicare Beneficiaries With Drug Services | 78 |
| Total Drug Submitted ChargeAmount | 18176.8 |
| Total Drug Medicare AllowedAmount | 1856.07 |
| Total Drug Medicare PaymentAmount | 1389.5 |
| Total Drug Medicare Standardized Payment Amount | 1389.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 224 |
| Number Of Medical Services | 6449 |
| Number Of Medicare Beneficiaries With Medical Services | 4383 |
| Total Medical Submitted Charge Amount | 1207790.06 |
| Total Medical Medicare Allowed Amount | 277519.81 |
| Total Medical Medicare Payment Amount | 212401.87 |
| Total Medical Medicare Standardized Payment Amount | 214389.39 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 573 |
| Number Of Beneficiaries Age 65 to 74 | 1287 |
| Number Of Beneficiaries Age 75 to 84 | 1354 |
| Number Of Beneficiaries Age Greater 84 | 1172 |
| Number Of Female Beneficiaries | 2612 |
| Number Of Male Beneficiaries | 1774 |
| Number Of Non Hispanic White Beneficiaries | 4053 |
| Number Of Black or African American Beneficiaries | 103 |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 142 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3409 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 977 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 27 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.9719 |