National Provider Identifier [NPI]: |
1003868894 |
Last Name Of The Provider |
BHAGAT |
First Name Of The Provider |
VISHAL |
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 |
5333 MCAULEY DR |
Street Address 2 Of The Provider |
SUITE 6016 |
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
481971014 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
219 |
Number Of Services |
3902 |
Number Of Medicare Beneficiaries |
2667 |
Total Submitted Charge Amount |
1029550 |
Total Medicare Allowed Amount |
258119 |
Total Medicare Payment Amount |
197182.45 |
Total Medicare Standardized Payment Amount |
191730.36 |
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 |
219 |
Number Of Medical Services |
3902 |
Number Of Medicare Beneficiaries With Medical Services |
2667 |
Total Medical Submitted Charge Amount |
1029550 |
Total Medical Medicare Allowed Amount |
258119 |
Total Medical Medicare Payment Amount |
197182.45 |
Total Medical Medicare Standardized Payment Amount |
191730.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
455 |
Number Of Beneficiaries Age 65 to 74 |
880 |
Number Of Beneficiaries Age 75 to 84 |
778 |
Number Of Beneficiaries Age Greater 84 |
554 |
Number Of Female Beneficiaries |
1576 |
Number Of Male Beneficiaries |
1091 |
Number Of Non Hispanic White Beneficiaries |
2323 |
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
516 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7585 |