| National Provider Identifier [NPI]: | 1134127830 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | VIKRAM |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 601 E ROLLINS ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | ORLANDO |
| Zip Code Of The Provider | 328031248 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 121 |
| Number Of Services | 15950 |
| Number Of Medicare Beneficiaries | 6483 |
| Total Submitted Charge Amount | 998727.83 |
| Total Medicare Allowed Amount | 329001.25 |
| Total Medicare Payment Amount | 246943.13 |
| Total Medicare Standardized Payment Amount | 251543.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 6773 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 3281.3 |
| Total Drug Medicare AllowedAmount | 1507.34 |
| Total Drug Medicare PaymentAmount | 1155.9 |
| Total Drug Medicare Standardized Payment Amount | 1155.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 117 |
| Number Of Medical Services | 9177 |
| Number Of Medicare Beneficiaries With Medical Services | 6481 |
| Total Medical Submitted Charge Amount | 995446.53 |
| Total Medical Medicare Allowed Amount | 327493.91 |
| Total Medical Medicare Payment Amount | 245787.23 |
| Total Medical Medicare Standardized Payment Amount | 250387.9 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1268 |
| Number Of Beneficiaries Age 65 to 74 | 1896 |
| Number Of Beneficiaries Age 75 to 84 | 1893 |
| Number Of Beneficiaries Age Greater 84 | 1426 |
| Number Of Female Beneficiaries | 3824 |
| Number Of Male Beneficiaries | 2659 |
| Number Of Non Hispanic White Beneficiaries | 4549 |
| Number Of Black or African American Beneficiaries | 742 |
| Number Of AsianPacific Islander Beneficiaries | 90 |
| Number Of Hispanic Beneficiaries | 1023 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 4393 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2090 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 30 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 36 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.2405 |