National Provider Identifier [NPI]: |
1598951873 |
Last Name Of The Provider |
AGNIHOTRI |
First Name Of The Provider |
NEERAJ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38660 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE A-380 |
City Of The Provider |
PALMDALE |
Zip Code Of The Provider |
935514385 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
164379 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
3515549.5 |
Total Medicare Allowed Amount |
1316615.69 |
Total Medicare Payment Amount |
1025217.95 |
Total Medicare Standardized Payment Amount |
978553.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
157653 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
2828342.5 |
Total Drug Medicare AllowedAmount |
916389.37 |
Total Drug Medicare PaymentAmount |
717794.34 |
Total Drug Medicare Standardized Payment Amount |
717794.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
6726 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
687207 |
Total Medical Medicare Allowed Amount |
400226.32 |
Total Medical Medicare Payment Amount |
307423.61 |
Total Medical Medicare Standardized Payment Amount |
260759.25 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
239 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.5987 |