National Provider Identifier [NPI]: |
1336189174 |
Last Name Of The Provider |
AGRAWAL |
First Name Of The Provider |
NEERAJ |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3404 WAKE FOREST RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
RALEIGH |
Zip Code Of The Provider |
276097340 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
129475 |
Number Of Medicare Beneficiaries |
620 |
Total Submitted Charge Amount |
6059018 |
Total Medicare Allowed Amount |
1611392.81 |
Total Medicare Payment Amount |
1227206.57 |
Total Medicare Standardized Payment Amount |
1238448.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
124879 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
5030427 |
Total Drug Medicare AllowedAmount |
1306647.8 |
Total Drug Medicare PaymentAmount |
1001238.79 |
Total Drug Medicare Standardized Payment Amount |
1001238.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4596 |
Number Of Medicare Beneficiaries With Medical Services |
620 |
Total Medical Submitted Charge Amount |
1028591 |
Total Medical Medicare Allowed Amount |
304745.01 |
Total Medical Medicare Payment Amount |
225967.78 |
Total Medical Medicare Standardized Payment Amount |
237209.69 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
398 |
Number Of Black or African American Beneficiaries |
198 |
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 |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0386 |