National Provider Identifier [NPI]: |
1437240256 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
AJAI |
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 |
3022 TRAWOOD DR |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799364329 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
171 |
Number Of Services |
23086 |
Number Of Medicare Beneficiaries |
1495 |
Total Submitted Charge Amount |
1804430.39 |
Total Medicare Allowed Amount |
880871.41 |
Total Medicare Payment Amount |
679218.3 |
Total Medicare Standardized Payment Amount |
708249.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
1854 |
Number Of Medicare Beneficiaries With Drug Services |
313 |
Total Drug Submitted ChargeAmount |
37869.7 |
Total Drug Medicare AllowedAmount |
3574.88 |
Total Drug Medicare PaymentAmount |
2720.18 |
Total Drug Medicare Standardized Payment Amount |
2720.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
21232 |
Number Of Medicare Beneficiaries With Medical Services |
1495 |
Total Medical Submitted Charge Amount |
1766560.69 |
Total Medical Medicare Allowed Amount |
877296.53 |
Total Medical Medicare Payment Amount |
676498.12 |
Total Medical Medicare Standardized Payment Amount |
705529.71 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
375 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
876 |
Number Of Male Beneficiaries |
619 |
Number Of Non Hispanic White Beneficiaries |
287 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
932 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3406 |