National Provider Identifier [NPI]: |
1649486168 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
RAJIV |
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 |
6400 FANNIN ST |
Street Address 2 Of The Provider |
STE 2210 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770301521 |
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 |
72 |
Number Of Services |
37375 |
Number Of Medicare Beneficiaries |
1749 |
Total Submitted Charge Amount |
2220896.29 |
Total Medicare Allowed Amount |
633775.19 |
Total Medicare Payment Amount |
477667.51 |
Total Medicare Standardized Payment Amount |
494888.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
32068 |
Number Of Medicare Beneficiaries With Drug Services |
376 |
Total Drug Submitted ChargeAmount |
128622.34 |
Total Drug Medicare AllowedAmount |
25957.07 |
Total Drug Medicare PaymentAmount |
20343.96 |
Total Drug Medicare Standardized Payment Amount |
20343.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
5307 |
Number Of Medicare Beneficiaries With Medical Services |
1749 |
Total Medical Submitted Charge Amount |
2092273.95 |
Total Medical Medicare Allowed Amount |
607818.12 |
Total Medical Medicare Payment Amount |
457323.55 |
Total Medical Medicare Standardized Payment Amount |
474544.51 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
258 |
Number Of Beneficiaries Age 65 to 74 |
747 |
Number Of Beneficiaries Age 75 to 84 |
515 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
947 |
Number Of Male Beneficiaries |
802 |
Number Of Non Hispanic White Beneficiaries |
1273 |
Number Of Black or African American Beneficiaries |
279 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0312 |