Patel did his residency in internal medicine in New Jersey in 1980, and completed a fellowship in the cardiology program affiliated with Columbia University of New York in 1982.

In 2017, he sold his second insurance company — America’s 1st Choice (including Freedom Health and Optimum Healthcare) to Anthem Inc. for an undisclosed amount.

The complaint also alleged that Freedom was engaging in service-area-expansion fraud — misrepresenting the number of health-care providers in its network in certain counties so that it could expand the areas in which it offered Medicare Advantage.

New Yorker article further reports, "In 2016, seven years after Darren Sewell filed his case, the Justice Department informed Inman that it would join the suit.

In May 2017, after months of difficult negotiations, Freedom settled charges that it had violated the False Claims Act and agreed to pay $31.7 million.

Freedom's former chief operating officer, Sidd Pagidipati, paid seven hundred and fifty thousand dollars to settle charges related to his role in the alleged service-area-expansion fraud.

[27][28] They have two daughters and one son, Shilen Patel with whom he jointly purchased English football (soccer) club West Bromwich Albion.