National Provider Identifier [NPI]: |
1992764260 |
Last Name Of The Provider |
BADHWAR |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11321 INTERSTATE 30 |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722097059 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
19077 |
Number Of Medicare Beneficiaries |
303 |
Total Submitted Charge Amount |
534283.25 |
Total Medicare Allowed Amount |
408792.79 |
Total Medicare Payment Amount |
315819.14 |
Total Medicare Standardized Payment Amount |
323522.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
9895 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
312705.25 |
Total Drug Medicare AllowedAmount |
275167.87 |
Total Drug Medicare PaymentAmount |
215585.57 |
Total Drug Medicare Standardized Payment Amount |
215585.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
9182 |
Number Of Medicare Beneficiaries With Medical Services |
303 |
Total Medical Submitted Charge Amount |
221578 |
Total Medical Medicare Allowed Amount |
133624.92 |
Total Medical Medicare Payment Amount |
100233.57 |
Total Medical Medicare Standardized Payment Amount |
107936.85 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
255 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
36 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9907 |