National Provider Identifier [NPI]: |
1770792434 |
Last Name Of The Provider |
GOEL |
First Name Of The Provider |
ANUJ |
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 |
111 CONTINENTAL DR |
Street Address 2 Of The Provider |
SUITE 406 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197134306 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
2150 |
Number Of Medicare Beneficiaries |
825 |
Total Submitted Charge Amount |
415363 |
Total Medicare Allowed Amount |
210722.7 |
Total Medicare Payment Amount |
163665.54 |
Total Medicare Standardized Payment Amount |
162419.02 |
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 |
15 |
Number Of Medical Services |
2150 |
Number Of Medicare Beneficiaries With Medical Services |
825 |
Total Medical Submitted Charge Amount |
415363 |
Total Medical Medicare Allowed Amount |
210722.7 |
Total Medical Medicare Payment Amount |
163665.54 |
Total Medical Medicare Standardized Payment Amount |
162419.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
628 |
Number Of Black or African American Beneficiaries |
154 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
608 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
30 |
Average HCC Risk Score Of Beneficiaries |
2.3377 |