| National Provider Identifier [NPI]: | 1689651036 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | DHARMESH |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 391 SOUTHCREST CIR |
| Street Address 2 Of The Provider | STE. 200 |
| City Of The Provider | SOUTHAVEN |
| Zip Code Of The Provider | 386714775 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 121 |
| Number Of Services | 17778 |
| Number Of Medicare Beneficiaries | 2925 |
| Total Submitted Charge Amount | 8003565 |
| Total Medicare Allowed Amount | 1073696.98 |
| Total Medicare Payment Amount | 822304.48 |
| Total Medicare Standardized Payment Amount | 906937.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 415 |
| Number Of Medicare Beneficiaries With Drug Services | 337 |
| Total Drug Submitted ChargeAmount | 61422 |
| Total Drug Medicare AllowedAmount | 18774.34 |
| Total Drug Medicare PaymentAmount | 14511.56 |
| Total Drug Medicare Standardized Payment Amount | 14511.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 115 |
| Number Of Medical Services | 17363 |
| Number Of Medicare Beneficiaries With Medical Services | 2923 |
| Total Medical Submitted Charge Amount | 7942143 |
| Total Medical Medicare Allowed Amount | 1054922.64 |
| Total Medical Medicare Payment Amount | 807792.92 |
| Total Medical Medicare Standardized Payment Amount | 892425.63 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 428 |
| Number Of Beneficiaries Age 65 to 74 | 1251 |
| Number Of Beneficiaries Age 75 to 84 | 909 |
| Number Of Beneficiaries Age Greater 84 | 337 |
| Number Of Female Beneficiaries | 1586 |
| Number Of Male Beneficiaries | 1339 |
| Number Of Non Hispanic White Beneficiaries | 2282 |
| Number Of Black or African American Beneficiaries | 592 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2254 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 671 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6566 |