National Provider Identifier [NPI]: |
1285610576 |
Last Name Of The Provider |
AGAGAN |
First Name Of The Provider |
CAESAR |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 INFIRMARY CIRCLE |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
36607 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6857 |
Number Of Medicare Beneficiaries |
829 |
Total Submitted Charge Amount |
786895 |
Total Medicare Allowed Amount |
491852.04 |
Total Medicare Payment Amount |
373455.06 |
Total Medicare Standardized Payment Amount |
405386.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
546 |
Total Drug Medicare AllowedAmount |
253.32 |
Total Drug Medicare PaymentAmount |
232.83 |
Total Drug Medicare Standardized Payment Amount |
232.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
6827 |
Number Of Medicare Beneficiaries With Medical Services |
829 |
Total Medical Submitted Charge Amount |
786349 |
Total Medical Medicare Allowed Amount |
491598.72 |
Total Medical Medicare Payment Amount |
373222.23 |
Total Medical Medicare Standardized Payment Amount |
405153.47 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
541 |
Number Of Black or African American Beneficiaries |
|
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 |
548 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2936 |