National Provider Identifier [NPI]: |
1003839838 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D., F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
903 E DEVONSHIRE AVE |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
HEMET |
Zip Code Of The Provider |
925433097 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
9251 |
Number Of Medicare Beneficiaries |
1171 |
Total Submitted Charge Amount |
1414240 |
Total Medicare Allowed Amount |
569358.33 |
Total Medicare Payment Amount |
440362.97 |
Total Medicare Standardized Payment Amount |
425454.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4116 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
167680 |
Total Drug Medicare AllowedAmount |
11756.69 |
Total Drug Medicare PaymentAmount |
9161.57 |
Total Drug Medicare Standardized Payment Amount |
9161.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5135 |
Number Of Medicare Beneficiaries With Medical Services |
1171 |
Total Medical Submitted Charge Amount |
1246560 |
Total Medical Medicare Allowed Amount |
557601.64 |
Total Medical Medicare Payment Amount |
431201.4 |
Total Medical Medicare Standardized Payment Amount |
416292.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
362 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
672 |
Number Of Male Beneficiaries |
499 |
Number Of Non Hispanic White Beneficiaries |
845 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
206 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
670 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
501 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9981 |