| National Provider Identifier [NPI]: | 1629047345 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | NEEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 11130 N TATUM BLVD |
| Street Address 2 Of The Provider | STE. 100 |
| City Of The Provider | PHOENIX |
| Zip Code Of The Provider | 850281662 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 10139 |
| Number Of Medicare Beneficiaries | 2268 |
| Total Submitted Charge Amount | 865227 |
| Total Medicare Allowed Amount | 575729.36 |
| Total Medicare Payment Amount | 402485.1 |
| Total Medicare Standardized Payment Amount | 401113.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 65 |
| Number Of Medicare Beneficiaries With Drug Services | 20 |
| Total Drug Submitted ChargeAmount | 650 |
| Total Drug Medicare AllowedAmount | 115.85 |
| Total Drug Medicare PaymentAmount | 85.18 |
| Total Drug Medicare Standardized Payment Amount | 85.18 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 66 |
| Number Of Medical Services | 10074 |
| Number Of Medicare Beneficiaries With Medical Services | 2268 |
| Total Medical Submitted Charge Amount | 864577 |
| Total Medical Medicare Allowed Amount | 575613.51 |
| Total Medical Medicare Payment Amount | 402399.92 |
| Total Medical Medicare Standardized Payment Amount | 401027.93 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 27 |
| Number Of Beneficiaries Age 65 to 74 | 1203 |
| Number Of Beneficiaries Age 75 to 84 | 785 |
| Number Of Beneficiaries Age Greater 84 | 253 |
| Number Of Female Beneficiaries | 1099 |
| Number Of Male Beneficiaries | 1169 |
| Number Of Non Hispanic White Beneficiaries | 2189 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 3 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 8 |
| Percent Of With Chronic Kidney Disease | 14 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 5 |
| Percent Of With Depression | 9 |
| Percent Of With Diabetes | 15 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 49 |
| Percent Of With Ischemic Heart Disease | 25 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 2 |
| Average HCC Risk Score Of Beneficiaries | 0.8356 |