| National Provider Identifier [NPI]: | 1205092541 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | ANANT |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 HURLEY PLZ |
| Street Address 2 Of The Provider | RADIOLOGY DEPARTMENT |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 485035902 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 210 |
| Number Of Services | 19346 |
| Number Of Medicare Beneficiaries | 4069 |
| Total Submitted Charge Amount | 773172.5 |
| Total Medicare Allowed Amount | 347180.99 |
| Total Medicare Payment Amount | 281000.2 |
| Total Medicare Standardized Payment Amount | 298884.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 12153 |
| Number Of Medicare Beneficiaries With Drug Services | 109 |
| Total Drug Submitted ChargeAmount | 21917.5 |
| Total Drug Medicare AllowedAmount | 2402.11 |
| Total Drug Medicare PaymentAmount | 1857.53 |
| Total Drug Medicare Standardized Payment Amount | 1857.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 7193 |
| Number Of Medicare Beneficiaries With Medical Services | 4069 |
| Total Medical Submitted Charge Amount | 751255 |
| Total Medical Medicare Allowed Amount | 344778.88 |
| Total Medical Medicare Payment Amount | 279142.67 |
| Total Medical Medicare Standardized Payment Amount | 297026.5 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1130 |
| Number Of Beneficiaries Age 65 to 74 | 1451 |
| Number Of Beneficiaries Age 75 to 84 | 1036 |
| Number Of Beneficiaries Age Greater 84 | 452 |
| Number Of Female Beneficiaries | 2704 |
| Number Of Male Beneficiaries | 1365 |
| Number Of Non Hispanic White Beneficiaries | 3028 |
| Number Of Black or African American Beneficiaries | 924 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 64 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2792 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1277 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6245 |