Medicare Facts for Dr. Sumon K. Agarwala, MD


National Provider Identifier [NPI]: 1073542718
Last Name Of The Provider AGARWALA
First Name Of The Provider SUMON
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 9100 WESCOTT DR
Street Address 2 Of The Provider SUITE 101
City Of The Provider FLEMINGTON
Zip Code Of The Provider 088224677
State Code Of The Provider NJ
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 776
Number Of Medicare Beneficiaries 285
Total Submitted Charge Amount 159620
Total Medicare Allowed Amount 92026.11
Total Medicare Payment Amount 68109
Total Medicare Standardized Payment Amount 61474.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 12
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 437
Total Drug Medicare AllowedAmount 254.44
Total Drug Medicare PaymentAmount 249.34
Total Drug Medicare Standardized Payment Amount 249.34
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 764
Number Of Medicare Beneficiaries With Medical Services 285
Total Medical Submitted Charge Amount 159183
Total Medical Medicare Allowed Amount 91771.67
Total Medical Medicare Payment Amount 67859.66
Total Medical Medicare Standardized Payment Amount 61225.43
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 145
Number Of Beneficiaries Age 75 to 84 61
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 160
Number Of Male Beneficiaries 125
Number Of Non Hispanic White Beneficiaries 253
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 241
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 11
Percent Of With Cancer 8
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 23
Percent Of With Diabetes 63
Percent Of With Hyperlipidemia 74
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.4585

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