National Provider Identifier [NPI]: |
1144215138 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
SUDHIR |
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 |
3543 LITTLE ROAD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
34655 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
13488 |
Number Of Medicare Beneficiaries |
1308 |
Total Submitted Charge Amount |
1626736.82 |
Total Medicare Allowed Amount |
835313.04 |
Total Medicare Payment Amount |
631338.76 |
Total Medicare Standardized Payment Amount |
633586.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5624 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
58010 |
Total Drug Medicare AllowedAmount |
17396.8 |
Total Drug Medicare PaymentAmount |
13608.05 |
Total Drug Medicare Standardized Payment Amount |
13608.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7864 |
Number Of Medicare Beneficiaries With Medical Services |
1308 |
Total Medical Submitted Charge Amount |
1568726.82 |
Total Medical Medicare Allowed Amount |
817916.24 |
Total Medical Medicare Payment Amount |
617730.71 |
Total Medical Medicare Standardized Payment Amount |
619978.78 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
441 |
Number Of Beneficiaries Age Greater 84 |
343 |
Number Of Female Beneficiaries |
722 |
Number Of Male Beneficiaries |
586 |
Number Of Non Hispanic White Beneficiaries |
1232 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1049 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9004 |