National Provider Identifier [NPI]: |
1104926021 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
RAMESH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
145 E CARROLL ST |
Street Address 2 Of The Provider |
UNIT 103 |
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
21801 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
6729 |
Number Of Medicare Beneficiaries |
1459 |
Total Submitted Charge Amount |
1328685.2 |
Total Medicare Allowed Amount |
486799.45 |
Total Medicare Payment Amount |
365409.96 |
Total Medicare Standardized Payment Amount |
359723.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1021 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
34030.4 |
Total Drug Medicare AllowedAmount |
1747.91 |
Total Drug Medicare PaymentAmount |
1369.55 |
Total Drug Medicare Standardized Payment Amount |
1369.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5708 |
Number Of Medicare Beneficiaries With Medical Services |
1459 |
Total Medical Submitted Charge Amount |
1294654.8 |
Total Medical Medicare Allowed Amount |
485051.54 |
Total Medical Medicare Payment Amount |
364040.41 |
Total Medical Medicare Standardized Payment Amount |
358353.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
536 |
Number Of Beneficiaries Age 75 to 84 |
459 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
645 |
Number Of Non Hispanic White Beneficiaries |
1043 |
Number Of Black or African American Beneficiaries |
374 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
1037 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
422 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0393 |