National Provider Identifier [NPI]: |
1790728574 |
Last Name Of The Provider |
GARG |
First Name Of The Provider |
SANJEEV |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
610 WYOMING AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
KINGSTON |
Zip Code Of The Provider |
187043702 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
3092 |
Number Of Medicare Beneficiaries |
1682 |
Total Submitted Charge Amount |
556715 |
Total Medicare Allowed Amount |
264906.31 |
Total Medicare Payment Amount |
196464.16 |
Total Medicare Standardized Payment Amount |
198583.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3092 |
Number Of Medicare Beneficiaries With Medical Services |
1682 |
Total Medical Submitted Charge Amount |
556715 |
Total Medical Medicare Allowed Amount |
264906.31 |
Total Medical Medicare Payment Amount |
196464.16 |
Total Medical Medicare Standardized Payment Amount |
198583.23 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
295 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
572 |
Number Of Beneficiaries Age Greater 84 |
343 |
Number Of Female Beneficiaries |
1000 |
Number Of Male Beneficiaries |
682 |
Number Of Non Hispanic White Beneficiaries |
1617 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1239 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
443 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.5645 |