| National Provider Identifier [NPI]: | 1053312694 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | PRANAV |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 615 VALLEY VIEW DR. |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | MOLINE |
| Zip Code Of The Provider | 612656180 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 191 |
| Number Of Services | 6460 |
| Number Of Medicare Beneficiaries | 4102 |
| Total Submitted Charge Amount | 756134.17 |
| Total Medicare Allowed Amount | 210996.63 |
| Total Medicare Payment Amount | 162850.6 |
| Total Medicare Standardized Payment Amount | 171211.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 289 |
| Number Of Medicare Beneficiaries With Drug Services | 47 |
| Total Drug Submitted ChargeAmount | 2072.35 |
| Total Drug Medicare AllowedAmount | 572.53 |
| Total Drug Medicare PaymentAmount | 447.9 |
| Total Drug Medicare Standardized Payment Amount | 447.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 190 |
| Number Of Medical Services | 6171 |
| Number Of Medicare Beneficiaries With Medical Services | 4102 |
| Total Medical Submitted Charge Amount | 754061.82 |
| Total Medical Medicare Allowed Amount | 210424.1 |
| Total Medical Medicare Payment Amount | 162402.7 |
| Total Medical Medicare Standardized Payment Amount | 170763.29 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 587 |
| Number Of Beneficiaries Age 65 to 74 | 1577 |
| Number Of Beneficiaries Age 75 to 84 | 1264 |
| Number Of Beneficiaries Age Greater 84 | 674 |
| Number Of Female Beneficiaries | 2558 |
| Number Of Male Beneficiaries | 1544 |
| Number Of Non Hispanic White Beneficiaries | 3733 |
| Number Of Black or African American Beneficiaries | 185 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 129 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3292 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 810 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4028 |