National Provider Identifier [NPI]: |
1841201514 |
Last Name Of The Provider |
AGAPITOV |
First Name Of The Provider |
ALEXEI |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16650 W BLUEMOUND RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BROOKFIELD |
Zip Code Of The Provider |
530055920 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
4233 |
Number Of Medicare Beneficiaries |
1429 |
Total Submitted Charge Amount |
2868406.62 |
Total Medicare Allowed Amount |
364178.06 |
Total Medicare Payment Amount |
276341 |
Total Medicare Standardized Payment Amount |
286122.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
158 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
16012 |
Total Drug Medicare AllowedAmount |
8326.37 |
Total Drug Medicare PaymentAmount |
6232.8 |
Total Drug Medicare Standardized Payment Amount |
6232.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4075 |
Number Of Medicare Beneficiaries With Medical Services |
1429 |
Total Medical Submitted Charge Amount |
2852394.62 |
Total Medical Medicare Allowed Amount |
355851.69 |
Total Medical Medicare Payment Amount |
270108.2 |
Total Medical Medicare Standardized Payment Amount |
279890.19 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
462 |
Number Of Beneficiaries Age 75 to 84 |
530 |
Number Of Beneficiaries Age Greater 84 |
352 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
708 |
Number Of Non Hispanic White Beneficiaries |
1346 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6124 |