National Provider Identifier [NPI]: |
1700064839 |
Last Name Of The Provider |
AGGARWAL |
First Name Of The Provider |
MEENAKSHI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
356 SE 9TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HILLSBORO |
Zip Code Of The Provider |
971234202 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
432 |
Number Of Medicare Beneficiaries |
110 |
Total Submitted Charge Amount |
58284 |
Total Medicare Allowed Amount |
28981.53 |
Total Medicare Payment Amount |
20897.14 |
Total Medicare Standardized Payment Amount |
20591.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
456 |
Total Drug Medicare AllowedAmount |
379.55 |
Total Drug Medicare PaymentAmount |
368.15 |
Total Drug Medicare Standardized Payment Amount |
368.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
411 |
Number Of Medicare Beneficiaries With Medical Services |
110 |
Total Medical Submitted Charge Amount |
57828 |
Total Medical Medicare Allowed Amount |
28601.98 |
Total Medical Medicare Payment Amount |
20528.99 |
Total Medical Medicare Standardized Payment Amount |
20223.4 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
53 |
Number Of Beneficiaries Age 75 to 84 |
23 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
71 |
Number Of Male Beneficiaries |
39 |
Number Of Non Hispanic White Beneficiaries |
96 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
80 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9211 |