| National Provider Identifier [NPI]: | 1457333742 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | SAMIR |
| Middle Initial Of The Provider | N |
| 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 6TH ST |
| Street Address 2 Of The Provider | SUITE 504 |
| City Of The Provider | PANAMA CITY |
| Zip Code Of The Provider | 324013661 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 102 |
| Number Of Services | 7897 |
| Number Of Medicare Beneficiaries | 3375 |
| Total Submitted Charge Amount | 2447772.25 |
| Total Medicare Allowed Amount | 806968.1 |
| Total Medicare Payment Amount | 622117.6 |
| Total Medicare Standardized Payment Amount | 623863.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 501 |
| Number Of Medicare Beneficiaries With Drug Services | 101 |
| Total Drug Submitted ChargeAmount | 23845.25 |
| Total Drug Medicare AllowedAmount | 21376.21 |
| Total Drug Medicare PaymentAmount | 16441.32 |
| Total Drug Medicare Standardized Payment Amount | 16441.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 99 |
| Number Of Medical Services | 7396 |
| Number Of Medicare Beneficiaries With Medical Services | 3375 |
| Total Medical Submitted Charge Amount | 2423927 |
| Total Medical Medicare Allowed Amount | 785591.89 |
| Total Medical Medicare Payment Amount | 605676.28 |
| Total Medical Medicare Standardized Payment Amount | 607422.13 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 540 |
| Number Of Beneficiaries Age 65 to 74 | 1298 |
| Number Of Beneficiaries Age 75 to 84 | 1124 |
| Number Of Beneficiaries Age Greater 84 | 413 |
| Number Of Female Beneficiaries | 1739 |
| Number Of Male Beneficiaries | 1636 |
| Number Of Non Hispanic White Beneficiaries | 3031 |
| Number Of Black or African American Beneficiaries | 256 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 31 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2511 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 864 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 39 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7289 |