| National Provider Identifier [NPI]: | 1083604169 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | UPEN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M. D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1106 DRUID RD S |
| Street Address 2 Of The Provider | SUITE 302 |
| City Of The Provider | CLEARWATER |
| Zip Code Of The Provider | 337563846 |
| 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 | 211 |
| Number Of Services | 14641 |
| Number Of Medicare Beneficiaries | 3574 |
| Total Submitted Charge Amount | 1208473.07 |
| Total Medicare Allowed Amount | 271455 |
| Total Medicare Payment Amount | 208413.95 |
| Total Medicare Standardized Payment Amount | 212250.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 9352 |
| Number Of Medicare Beneficiaries With Drug Services | 114 |
| Total Drug Submitted ChargeAmount | 21505.08 |
| Total Drug Medicare AllowedAmount | 2668.45 |
| Total Drug Medicare PaymentAmount | 2072.35 |
| Total Drug Medicare Standardized Payment Amount | 2072.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 5289 |
| Number Of Medicare Beneficiaries With Medical Services | 3571 |
| Total Medical Submitted Charge Amount | 1186967.99 |
| Total Medical Medicare Allowed Amount | 268786.55 |
| Total Medical Medicare Payment Amount | 206341.6 |
| Total Medical Medicare Standardized Payment Amount | 210177.91 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 449 |
| Number Of Beneficiaries Age 65 to 74 | 1057 |
| Number Of Beneficiaries Age 75 to 84 | 1154 |
| Number Of Beneficiaries Age Greater 84 | 914 |
| Number Of Female Beneficiaries | 2140 |
| Number Of Male Beneficiaries | 1434 |
| Number Of Non Hispanic White Beneficiaries | 3291 |
| Number Of Black or African American Beneficiaries | 81 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 130 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2843 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 731 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.8814 |