| National Provider Identifier [NPI]: | 1740284009 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | SUSANJ |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 401 LIBERTY AVE STE 2000 |
| Street Address 2 Of The Provider | THREE GATEWAY CENTER, 20TH FLOOR |
| City Of The Provider | PITTSBURGH |
| Zip Code Of The Provider | 152221029 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 170 |
| Number Of Services | 9820 |
| Number Of Medicare Beneficiaries | 7256 |
| Total Submitted Charge Amount | 1084239.44 |
| Total Medicare Allowed Amount | 326766.58 |
| Total Medicare Payment Amount | 240980.83 |
| Total Medicare Standardized Payment Amount | 246487.02 |
| 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 | 170 |
| Number Of Medical Services | 9820 |
| Number Of Medicare Beneficiaries With Medical Services | 7256 |
| Total Medical Submitted Charge Amount | 1084239.44 |
| Total Medical Medicare Allowed Amount | 326766.58 |
| Total Medical Medicare Payment Amount | 240980.83 |
| Total Medical Medicare Standardized Payment Amount | 246487.02 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1498 |
| Number Of Beneficiaries Age 65 to 74 | 2131 |
| Number Of Beneficiaries Age 75 to 84 | 2075 |
| Number Of Beneficiaries Age Greater 84 | 1552 |
| Number Of Female Beneficiaries | 4249 |
| Number Of Male Beneficiaries | 3007 |
| Number Of Non Hispanic White Beneficiaries | 6424 |
| Number Of Black or African American Beneficiaries | 675 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 90 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4752 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2504 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9325 |