National Provider Identifier [NPI]: |
1942285671 |
Last Name Of The Provider |
AGRAWAL |
First Name Of The Provider |
KANTI |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 WALTER REED BLVD |
Street Address 2 Of The Provider |
STE 205 |
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
750423701 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
6091 |
Number Of Medicare Beneficiaries |
2106 |
Total Submitted Charge Amount |
765623.43 |
Total Medicare Allowed Amount |
252413.79 |
Total Medicare Payment Amount |
188393.82 |
Total Medicare Standardized Payment Amount |
181991.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
18563.2 |
Total Drug Medicare AllowedAmount |
7648.59 |
Total Drug Medicare PaymentAmount |
5996.45 |
Total Drug Medicare Standardized Payment Amount |
5996.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5843 |
Number Of Medicare Beneficiaries With Medical Services |
2106 |
Total Medical Submitted Charge Amount |
747060.23 |
Total Medical Medicare Allowed Amount |
244765.2 |
Total Medical Medicare Payment Amount |
182397.37 |
Total Medical Medicare Standardized Payment Amount |
175994.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
829 |
Number Of Beneficiaries Age 75 to 84 |
733 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1036 |
Number Of Male Beneficiaries |
1070 |
Number Of Non Hispanic White Beneficiaries |
1696 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
94 |
Number Of Hispanic Beneficiaries |
122 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1762 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
344 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8889 |