| National Provider Identifier [NPI]: | 1891785978 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | DIVYANG |
| Middle Initial Of The Provider | |
| 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 | 235 |
| Number Of Services | 24714 |
| Number Of Medicare Beneficiaries | 4525 |
| Total Submitted Charge Amount | 1515443.8 |
| Total Medicare Allowed Amount | 340411.84 |
| Total Medicare Payment Amount | 259873.04 |
| Total Medicare Standardized Payment Amount | 264970.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 17531 |
| Number Of Medicare Beneficiaries With Drug Services | 191 |
| Total Drug Submitted ChargeAmount | 47063.8 |
| Total Drug Medicare AllowedAmount | 4147.55 |
| Total Drug Medicare PaymentAmount | 3186.97 |
| Total Drug Medicare Standardized Payment Amount | 3186.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 232 |
| Number Of Medical Services | 7183 |
| Number Of Medicare Beneficiaries With Medical Services | 4523 |
| Total Medical Submitted Charge Amount | 1468380 |
| Total Medical Medicare Allowed Amount | 336264.29 |
| Total Medical Medicare Payment Amount | 256686.07 |
| Total Medical Medicare Standardized Payment Amount | 261783.15 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 629 |
| Number Of Beneficiaries Age 65 to 74 | 1295 |
| Number Of Beneficiaries Age 75 to 84 | 1437 |
| Number Of Beneficiaries Age Greater 84 | 1164 |
| Number Of Female Beneficiaries | 2729 |
| Number Of Male Beneficiaries | 1796 |
| Number Of Non Hispanic White Beneficiaries | 4143 |
| Number Of Black or African American Beneficiaries | 163 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 141 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3482 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1043 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 38 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 18 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.9128 |