National Provider Identifier [NPI]: |
1285618579 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
RAJESH |
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 |
6770 MAYFIELD RD |
Street Address 2 Of The Provider |
SUITE 425 |
City Of The Provider |
MAYFIELD HEIGHTS |
Zip Code Of The Provider |
441242299 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
15285 |
Number Of Medicare Beneficiaries |
2421 |
Total Submitted Charge Amount |
2306117 |
Total Medicare Allowed Amount |
1269030.82 |
Total Medicare Payment Amount |
980824.38 |
Total Medicare Standardized Payment Amount |
1002488.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
393 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
9405 |
Total Drug Medicare AllowedAmount |
6657.88 |
Total Drug Medicare PaymentAmount |
6368.04 |
Total Drug Medicare Standardized Payment Amount |
6368.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
14892 |
Number Of Medicare Beneficiaries With Medical Services |
2421 |
Total Medical Submitted Charge Amount |
2296712 |
Total Medical Medicare Allowed Amount |
1262372.94 |
Total Medical Medicare Payment Amount |
974456.34 |
Total Medical Medicare Standardized Payment Amount |
996120.41 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
375 |
Number Of Beneficiaries Age 65 to 74 |
526 |
Number Of Beneficiaries Age 75 to 84 |
643 |
Number Of Beneficiaries Age Greater 84 |
877 |
Number Of Female Beneficiaries |
1454 |
Number Of Male Beneficiaries |
967 |
Number Of Non Hispanic White Beneficiaries |
1396 |
Number Of Black or African American Beneficiaries |
954 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1072 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.5815 |