| National Provider Identifier [NPI]: | 1508897133 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | SAURABH |
| 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 | 27160 BAY LANDING DR |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | BONITA SPRINGS |
| Zip Code Of The Provider | 341354333 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 61 |
| Number Of Services | 31677 |
| Number Of Medicare Beneficiaries | 1840 |
| Total Submitted Charge Amount | 8746742.88 |
| Total Medicare Allowed Amount | 3748291.07 |
| Total Medicare Payment Amount | 2912005.43 |
| Total Medicare Standardized Payment Amount | 2797696.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 962 |
| Number Of Medicare Beneficiaries With Drug Services | 102 |
| Total Drug Submitted ChargeAmount | 798200 |
| Total Drug Medicare AllowedAmount | 723778.25 |
| Total Drug Medicare PaymentAmount | 567288.53 |
| Total Drug Medicare Standardized Payment Amount | 567288.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 55 |
| Number Of Medical Services | 30715 |
| Number Of Medicare Beneficiaries With Medical Services | 1840 |
| Total Medical Submitted Charge Amount | 7948542.88 |
| Total Medical Medicare Allowed Amount | 3024512.82 |
| Total Medical Medicare Payment Amount | 2344716.9 |
| Total Medical Medicare Standardized Payment Amount | 2230408.08 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 20 |
| Number Of Beneficiaries Age 65 to 74 | 841 |
| Number Of Beneficiaries Age 75 to 84 | 691 |
| Number Of Beneficiaries Age Greater 84 | 288 |
| Number Of Female Beneficiaries | 940 |
| Number Of Male Beneficiaries | 900 |
| Number Of Non Hispanic White Beneficiaries | 1754 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1814 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 26 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 11 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0764 |