National Provider Identifier [NPI]: |
1487636684 |
Last Name Of The Provider |
AGGARWAL |
First Name Of The Provider |
INDERJIT |
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 |
29610 RYAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480924247 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
7534 |
Number Of Medicare Beneficiaries |
691 |
Total Submitted Charge Amount |
1006324 |
Total Medicare Allowed Amount |
599712.78 |
Total Medicare Payment Amount |
472830.52 |
Total Medicare Standardized Payment Amount |
466531.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
651 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
10710 |
Total Drug Medicare AllowedAmount |
1347.32 |
Total Drug Medicare PaymentAmount |
1207.86 |
Total Drug Medicare Standardized Payment Amount |
1207.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
6883 |
Number Of Medicare Beneficiaries With Medical Services |
691 |
Total Medical Submitted Charge Amount |
995614 |
Total Medical Medicare Allowed Amount |
598365.46 |
Total Medical Medicare Payment Amount |
471622.66 |
Total Medical Medicare Standardized Payment Amount |
465324.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
509 |
Number Of Black or African American Beneficiaries |
151 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2981 |