| National Provider Identifier [NPI]: | 1841246790 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | SMITESH |
| 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 | 765 ELA RD |
| Street Address 2 Of The Provider | SUITE 305 |
| City Of The Provider | LAKE ZURICH |
| Zip Code Of The Provider | 600472337 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 232 |
| Number Of Services | 6062 |
| Number Of Medicare Beneficiaries | 3296 |
| Total Submitted Charge Amount | 711345 |
| Total Medicare Allowed Amount | 179913.67 |
| Total Medicare Payment Amount | 136110.27 |
| Total Medicare Standardized Payment Amount | 130114.63 |
| 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 | 232 |
| Number Of Medical Services | 6062 |
| Number Of Medicare Beneficiaries With Medical Services | 3296 |
| Total Medical Submitted Charge Amount | 711345 |
| Total Medical Medicare Allowed Amount | 179913.67 |
| Total Medical Medicare Payment Amount | 136110.27 |
| Total Medical Medicare Standardized Payment Amount | 130114.63 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 301 |
| Number Of Beneficiaries Age 65 to 74 | 1328 |
| Number Of Beneficiaries Age 75 to 84 | 1029 |
| Number Of Beneficiaries Age Greater 84 | 638 |
| Number Of Female Beneficiaries | 1939 |
| Number Of Male Beneficiaries | 1357 |
| Number Of Non Hispanic White Beneficiaries | 3042 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 58 |
| Number Of Hispanic Beneficiaries | 113 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2901 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 395 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5323 |