| National Provider Identifier [NPI]: | 1992735526 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | BHARAT |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | SC |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12 HOSPITAL DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | METROPOLIS |
| Zip Code Of The Provider | 62960 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 58 |
| Number Of Services | 12872 |
| Number Of Medicare Beneficiaries | 1305 |
| Total Submitted Charge Amount | 921146.52 |
| Total Medicare Allowed Amount | 539019.28 |
| Total Medicare Payment Amount | 400084.66 |
| Total Medicare Standardized Payment Amount | 407787.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1463 |
| Number Of Medicare Beneficiaries With Drug Services | 545 |
| Total Drug Submitted ChargeAmount | 27570 |
| Total Drug Medicare AllowedAmount | 7077.73 |
| Total Drug Medicare PaymentAmount | 6425.08 |
| Total Drug Medicare Standardized Payment Amount | 6425.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 54 |
| Number Of Medical Services | 11409 |
| Number Of Medicare Beneficiaries With Medical Services | 1305 |
| Total Medical Submitted Charge Amount | 893576.52 |
| Total Medical Medicare Allowed Amount | 531941.55 |
| Total Medical Medicare Payment Amount | 393659.58 |
| Total Medical Medicare Standardized Payment Amount | 401362.1 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 202 |
| Number Of Beneficiaries Age 65 to 74 | 484 |
| Number Of Beneficiaries Age 75 to 84 | 386 |
| Number Of Beneficiaries Age Greater 84 | 233 |
| Number Of Female Beneficiaries | 776 |
| Number Of Male Beneficiaries | 529 |
| Number Of Non Hispanic White Beneficiaries | 1207 |
| Number Of Black or African American Beneficiaries | 73 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 923 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 382 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.2369 |