| National Provider Identifier [NPI]: | 1164728820 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | ROMIL |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 801 E DIXIE AVE |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | LEESBURG |
| Zip Code Of The Provider | 347487699 |
| 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 | 224 |
| Number Of Services | 49338 |
| Number Of Medicare Beneficiaries | 6632 |
| Total Submitted Charge Amount | 2646139 |
| Total Medicare Allowed Amount | 1261605.58 |
| Total Medicare Payment Amount | 983646.81 |
| Total Medicare Standardized Payment Amount | 1000518.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 39522 |
| Number Of Medicare Beneficiaries With Drug Services | 744 |
| Total Drug Submitted ChargeAmount | 116236 |
| Total Drug Medicare AllowedAmount | 16101.12 |
| Total Drug Medicare PaymentAmount | 12559.91 |
| Total Drug Medicare Standardized Payment Amount | 12559.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 215 |
| Number Of Medical Services | 9816 |
| Number Of Medicare Beneficiaries With Medical Services | 6623 |
| Total Medical Submitted Charge Amount | 2529903 |
| Total Medical Medicare Allowed Amount | 1245504.46 |
| Total Medical Medicare Payment Amount | 971086.9 |
| Total Medical Medicare Standardized Payment Amount | 987958.12 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 377 |
| Number Of Beneficiaries Age 65 to 74 | 2851 |
| Number Of Beneficiaries Age 75 to 84 | 2499 |
| Number Of Beneficiaries Age Greater 84 | 905 |
| Number Of Female Beneficiaries | 3803 |
| Number Of Male Beneficiaries | 2829 |
| Number Of Non Hispanic White Beneficiaries | 6241 |
| Number Of Black or African American Beneficiaries | 185 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 127 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6065 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 567 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.5358 |