National Provider Identifier [NPI]: |
1730373994 |
Last Name Of The Provider |
AGGARWAL |
First Name Of The Provider |
VINAY |
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 |
8700 BEVERLY BLVD |
Street Address 2 Of The Provider |
408 |
City Of The Provider |
WEST HOLLYWOOD |
Zip Code Of The Provider |
900481804 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
1781 |
Number Of Medicare Beneficiaries |
458 |
Total Submitted Charge Amount |
887193 |
Total Medicare Allowed Amount |
179775.19 |
Total Medicare Payment Amount |
138526.97 |
Total Medicare Standardized Payment Amount |
129063.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
4420 |
Total Drug Medicare AllowedAmount |
1791.11 |
Total Drug Medicare PaymentAmount |
1488.79 |
Total Drug Medicare Standardized Payment Amount |
1488.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1722 |
Number Of Medicare Beneficiaries With Medical Services |
458 |
Total Medical Submitted Charge Amount |
882773 |
Total Medical Medicare Allowed Amount |
177984.08 |
Total Medical Medicare Payment Amount |
137038.18 |
Total Medical Medicare Standardized Payment Amount |
127575.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
255 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2072 |