National Provider Identifier [NPI]: |
1275632887 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
DIMPLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1180 N INDIAN CANYON DR |
Street Address 2 Of The Provider |
STE E-317 |
City Of The Provider |
PALM SPRINGS |
Zip Code Of The Provider |
922624800 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3372 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
621468.08 |
Total Medicare Allowed Amount |
401690.05 |
Total Medicare Payment Amount |
307013.6 |
Total Medicare Standardized Payment Amount |
298968.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
7898.45 |
Total Drug Medicare AllowedAmount |
4528.1 |
Total Drug Medicare PaymentAmount |
4428.33 |
Total Drug Medicare Standardized Payment Amount |
4428.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3259 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
613569.63 |
Total Medical Medicare Allowed Amount |
397161.95 |
Total Medical Medicare Payment Amount |
302585.27 |
Total Medical Medicare Standardized Payment Amount |
294539.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
342 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
308 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.54 |