| National Provider Identifier [NPI]: | 1891878146 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | MITEN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7015 AC SKINNER PARKWAY |
| Street Address 2 Of The Provider | BUILDING 100 |
| City Of The Provider | JACKSONVILLE |
| Zip Code Of The Provider | 322566932 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 132 |
| Number Of Services | 186890 |
| Number Of Medicare Beneficiaries | 1145 |
| Total Submitted Charge Amount | 5710311 |
| Total Medicare Allowed Amount | 2252915.37 |
| Total Medicare Payment Amount | 1753753.83 |
| Total Medicare Standardized Payment Amount | 1753246.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 60 |
| Number Of Drug Services | 172368 |
| Number Of Medicare Beneficiaries With Drug Services | 279 |
| Total Drug Submitted ChargeAmount | 3981367 |
| Total Drug Medicare AllowedAmount | 1443114.93 |
| Total Drug Medicare PaymentAmount | 1120545.17 |
| Total Drug Medicare Standardized Payment Amount | 1120545.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 72 |
| Number Of Medical Services | 14522 |
| Number Of Medicare Beneficiaries With Medical Services | 1143 |
| Total Medical Submitted Charge Amount | 1728944 |
| Total Medical Medicare Allowed Amount | 809800.44 |
| Total Medical Medicare Payment Amount | 633208.66 |
| Total Medical Medicare Standardized Payment Amount | 632701.21 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 152 |
| Number Of Beneficiaries Age 65 to 74 | 469 |
| Number Of Beneficiaries Age 75 to 84 | 374 |
| Number Of Beneficiaries Age Greater 84 | 150 |
| Number Of Female Beneficiaries | 625 |
| Number Of Male Beneficiaries | 520 |
| Number Of Non Hispanic White Beneficiaries | 888 |
| Number Of Black or African American Beneficiaries | 190 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 38 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 940 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 205 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 40 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.2085 |