National Provider Identifier [NPI]: |
1942552914 |
Last Name Of The Provider |
AGGARWAL |
First Name Of The Provider |
SAKSHI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1503 N IMPERIAL AVE |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
EL CENTRO |
Zip Code Of The Provider |
922436301 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
327 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
53405 |
Total Medicare Allowed Amount |
39181.11 |
Total Medicare Payment Amount |
30756.34 |
Total Medicare Standardized Payment Amount |
35183.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
135 |
Total Drug Medicare AllowedAmount |
77.56 |
Total Drug Medicare PaymentAmount |
72.59 |
Total Drug Medicare Standardized Payment Amount |
72.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
309 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
53270 |
Total Medical Medicare Allowed Amount |
39103.55 |
Total Medical Medicare Payment Amount |
30683.75 |
Total Medical Medicare Standardized Payment Amount |
35111.4 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
28 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
133 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
67 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
57 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
40 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4391 |