| National Provider Identifier [NPI]: | 1508960683 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | JAYDUTT |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2315 MYRTLE ST |
| Street Address 2 Of The Provider | SUITE 190 |
| City Of The Provider | ERIE |
| Zip Code Of The Provider | 165024604 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiac Electrophysiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 82 |
| Number Of Services | 7038 |
| Number Of Medicare Beneficiaries | 3573 |
| Total Submitted Charge Amount | 913956 |
| Total Medicare Allowed Amount | 299465.33 |
| Total Medicare Payment Amount | 226429.39 |
| Total Medicare Standardized Payment Amount | 233801.01 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 82 |
| Number Of Medical Services | 7038 |
| Number Of Medicare Beneficiaries With Medical Services | 3573 |
| Total Medical Submitted Charge Amount | 913956 |
| Total Medical Medicare Allowed Amount | 299465.33 |
| Total Medical Medicare Payment Amount | 226429.39 |
| Total Medical Medicare Standardized Payment Amount | 233801.01 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 612 |
| Number Of Beneficiaries Age 65 to 74 | 1111 |
| Number Of Beneficiaries Age 75 to 84 | 1086 |
| Number Of Beneficiaries Age Greater 84 | 764 |
| Number Of Female Beneficiaries | 1822 |
| Number Of Male Beneficiaries | 1751 |
| Number Of Non Hispanic White Beneficiaries | 3357 |
| Number Of Black or African American Beneficiaries | 131 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 54 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2634 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 939 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6765 |