National Provider Identifier [NPI]: |
1982830758 |
Last Name Of The Provider |
NAGPAL |
First Name Of The Provider |
AMEET |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD, MS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5282 MEDICAL DR |
Street Address 2 Of The Provider |
SUITE 614 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782294849 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2308 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
221171.56 |
Total Medicare Allowed Amount |
87372.55 |
Total Medicare Payment Amount |
65978.81 |
Total Medicare Standardized Payment Amount |
66697.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1611 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
28463 |
Total Drug Medicare AllowedAmount |
9753.06 |
Total Drug Medicare PaymentAmount |
7644.22 |
Total Drug Medicare Standardized Payment Amount |
7644.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
697 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
192708.56 |
Total Medical Medicare Allowed Amount |
77619.49 |
Total Medical Medicare Payment Amount |
58334.59 |
Total Medical Medicare Standardized Payment Amount |
59053.66 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
130 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
139 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7399 |