| National Provider Identifier [NPI]: | 1194733329 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | ANAL |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 85 SEYMOUR ST |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | HARTFORD |
| Zip Code Of The Provider | 061065501 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 15042 |
| Number Of Medicare Beneficiaries | 3900 |
| Total Submitted Charge Amount | 1293923 |
| Total Medicare Allowed Amount | 305588.07 |
| Total Medicare Payment Amount | 245208.47 |
| Total Medicare Standardized Payment Amount | 231617.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 8820 |
| Number Of Medicare Beneficiaries With Drug Services | 113 |
| Total Drug Submitted ChargeAmount | 27186 |
| Total Drug Medicare AllowedAmount | 2121.35 |
| Total Drug Medicare PaymentAmount | 1663.04 |
| Total Drug Medicare Standardized Payment Amount | 1663.04 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 6222 |
| Number Of Medicare Beneficiaries With Medical Services | 3900 |
| Total Medical Submitted Charge Amount | 1266737 |
| Total Medical Medicare Allowed Amount | 303466.72 |
| Total Medical Medicare Payment Amount | 243545.43 |
| Total Medical Medicare Standardized Payment Amount | 229954.87 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 565 |
| Number Of Beneficiaries Age 65 to 74 | 1431 |
| Number Of Beneficiaries Age 75 to 84 | 1183 |
| Number Of Beneficiaries Age Greater 84 | 721 |
| Number Of Female Beneficiaries | 2665 |
| Number Of Male Beneficiaries | 1235 |
| Number Of Non Hispanic White Beneficiaries | 3393 |
| Number Of Black or African American Beneficiaries | 163 |
| Number Of AsianPacific Islander Beneficiaries | 53 |
| Number Of Hispanic Beneficiaries | 243 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2765 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1135 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.5521 |