National Provider Identifier [NPI]: |
1376568105 |
Last Name Of The Provider |
BHARDWAJ |
First Name Of The Provider |
AJAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6780 MAYFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAYFIELD HTS |
Zip Code Of The Provider |
441242203 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
3645 |
Number Of Medicare Beneficiaries |
2277 |
Total Submitted Charge Amount |
846231 |
Total Medicare Allowed Amount |
113838.78 |
Total Medicare Payment Amount |
87142.64 |
Total Medicare Standardized Payment Amount |
89445.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
3645 |
Number Of Medicare Beneficiaries With Medical Services |
2277 |
Total Medical Submitted Charge Amount |
846231 |
Total Medical Medicare Allowed Amount |
113838.78 |
Total Medical Medicare Payment Amount |
87142.64 |
Total Medical Medicare Standardized Payment Amount |
89445.06 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
773 |
Number Of Beneficiaries Age 75 to 84 |
721 |
Number Of Beneficiaries Age Greater 84 |
561 |
Number Of Female Beneficiaries |
1407 |
Number Of Male Beneficiaries |
870 |
Number Of Non Hispanic White Beneficiaries |
1899 |
Number Of Black or African American Beneficiaries |
301 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
466 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9033 |