| National Provider Identifier [NPI]: | 1891986907 |
| Last Name Of The Provider | PATEL |
| First Name Of The Provider | SUBHASH |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 900 MAIN ST |
| Street Address 2 Of The Provider | STE 320 |
| City Of The Provider | PEORIA |
| Zip Code Of The Provider | 616021005 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 115 |
| Number Of Services | 8402 |
| Number Of Medicare Beneficiaries | 2797 |
| Total Submitted Charge Amount | 3252904.25 |
| Total Medicare Allowed Amount | 678852.71 |
| Total Medicare Payment Amount | 503463.39 |
| Total Medicare Standardized Payment Amount | 517521.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 16 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 2000 |
| Total Drug Medicare AllowedAmount | 91.73 |
| Total Drug Medicare PaymentAmount | 71.93 |
| Total Drug Medicare Standardized Payment Amount | 71.93 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 114 |
| Number Of Medical Services | 8386 |
| Number Of Medicare Beneficiaries With Medical Services | 2797 |
| Total Medical Submitted Charge Amount | 3250904.25 |
| Total Medical Medicare Allowed Amount | 678760.98 |
| Total Medical Medicare Payment Amount | 503391.46 |
| Total Medical Medicare Standardized Payment Amount | 517449.74 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 268 |
| Number Of Beneficiaries Age 65 to 74 | 1064 |
| Number Of Beneficiaries Age 75 to 84 | 936 |
| Number Of Beneficiaries Age Greater 84 | 529 |
| Number Of Female Beneficiaries | 1341 |
| Number Of Male Beneficiaries | 1456 |
| Number Of Non Hispanic White Beneficiaries | 2590 |
| Number Of Black or African American Beneficiaries | 153 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 25 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2367 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 430 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4491 |