National Provider Identifier [NPI]: |
1356656250 |
Last Name Of The Provider |
AGRAWAL |
First Name Of The Provider |
NABIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.B.B.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1406 W BELLA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARION |
Zip Code Of The Provider |
469535229 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1325 |
Number Of Medicare Beneficiaries |
468 |
Total Submitted Charge Amount |
111001 |
Total Medicare Allowed Amount |
93455.12 |
Total Medicare Payment Amount |
67466.36 |
Total Medicare Standardized Payment Amount |
71751.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
199 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
6554 |
Total Drug Medicare AllowedAmount |
4047.28 |
Total Drug Medicare PaymentAmount |
3512.56 |
Total Drug Medicare Standardized Payment Amount |
3512.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1126 |
Number Of Medicare Beneficiaries With Medical Services |
468 |
Total Medical Submitted Charge Amount |
104447 |
Total Medical Medicare Allowed Amount |
89407.84 |
Total Medical Medicare Payment Amount |
63953.8 |
Total Medical Medicare Standardized Payment Amount |
68238.92 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
390 |
Number Of Black or African American Beneficiaries |
52 |
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 |
244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4561 |