| National Provider Identifier [NPI]: | 1770584948 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | PIYUSH |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 205 N EAST AVE |
| Street Address 2 Of The Provider | IMAGING DEPARTMENT |
| City Of The Provider | JACKSON |
| Zip Code Of The Provider | 492011753 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 7824 |
| Number Of Medicare Beneficiaries | 4463 |
| Total Submitted Charge Amount | 650314 |
| Total Medicare Allowed Amount | 157921.77 |
| Total Medicare Payment Amount | 121417.31 |
| Total Medicare Standardized Payment Amount | 125476.56 |
| 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 | 161 |
| Number Of Medical Services | 7824 |
| Number Of Medicare Beneficiaries With Medical Services | 4463 |
| Total Medical Submitted Charge Amount | 650314 |
| Total Medical Medicare Allowed Amount | 157921.77 |
| Total Medical Medicare Payment Amount | 121417.31 |
| Total Medical Medicare Standardized Payment Amount | 125476.56 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 939 |
| Number Of Beneficiaries Age 65 to 74 | 1645 |
| Number Of Beneficiaries Age 75 to 84 | 1224 |
| Number Of Beneficiaries Age Greater 84 | 655 |
| Number Of Female Beneficiaries | 3043 |
| Number Of Male Beneficiaries | 1420 |
| Number Of Non Hispanic White Beneficiaries | 4089 |
| Number Of Black or African American Beneficiaries | 269 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3327 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1136 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5692 |