National Provider Identifier [NPI]: |
1891734083 |
Last Name Of The Provider |
BHARGAVA |
First Name Of The Provider |
SANJAY |
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 |
11803 SOUTH FREEWAY |
Street Address 2 Of The Provider |
SUITE 115 |
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
76115 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
3427 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
678957.4 |
Total Medicare Allowed Amount |
300064.46 |
Total Medicare Payment Amount |
229068.41 |
Total Medicare Standardized Payment Amount |
233613.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
22000 |
Total Drug Medicare AllowedAmount |
9315.44 |
Total Drug Medicare PaymentAmount |
7134.79 |
Total Drug Medicare Standardized Payment Amount |
7134.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
3251 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
656957.4 |
Total Medical Medicare Allowed Amount |
290749.02 |
Total Medical Medicare Payment Amount |
221933.62 |
Total Medical Medicare Standardized Payment Amount |
226478.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
462 |
Number Of Male Beneficiaries |
389 |
Number Of Non Hispanic White Beneficiaries |
699 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
608 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
67 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.7702 |