| National Provider Identifier [NPI]: | 1386611713 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | DIPAN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8401 DATAPOINT DR |
| Street Address 2 Of The Provider | SUITE 600 |
| City Of The Provider | SAN ANTONIO |
| Zip Code Of The Provider | 782295900 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 220 |
| Number Of Services | 9260 |
| Number Of Medicare Beneficiaries | 3697 |
| Total Submitted Charge Amount | 1952359.5 |
| Total Medicare Allowed Amount | 414661.67 |
| Total Medicare Payment Amount | 322287.09 |
| Total Medicare Standardized Payment Amount | 350991.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 3880 |
| Number Of Medicare Beneficiaries With Drug Services | 126 |
| Total Drug Submitted ChargeAmount | 7754.7 |
| Total Drug Medicare AllowedAmount | 3687.88 |
| Total Drug Medicare PaymentAmount | 2818.6 |
| Total Drug Medicare Standardized Payment Amount | 2818.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 216 |
| Number Of Medical Services | 5380 |
| Number Of Medicare Beneficiaries With Medical Services | 3696 |
| Total Medical Submitted Charge Amount | 1944604.8 |
| Total Medical Medicare Allowed Amount | 410973.79 |
| Total Medical Medicare Payment Amount | 319468.49 |
| Total Medical Medicare Standardized Payment Amount | 348173.15 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 617 |
| Number Of Beneficiaries Age 65 to 74 | 1503 |
| Number Of Beneficiaries Age 75 to 84 | 1066 |
| Number Of Beneficiaries Age Greater 84 | 511 |
| Number Of Female Beneficiaries | 2229 |
| Number Of Male Beneficiaries | 1468 |
| Number Of Non Hispanic White Beneficiaries | 2441 |
| Number Of Black or African American Beneficiaries | 152 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 1023 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2953 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 744 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 58 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7418 |