National Provider Identifier [NPI]: |
1508940628 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 TVC |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372320001 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2546 |
Number Of Medicare Beneficiaries |
798 |
Total Submitted Charge Amount |
1176335.2 |
Total Medicare Allowed Amount |
287971.28 |
Total Medicare Payment Amount |
209177.6 |
Total Medicare Standardized Payment Amount |
225162.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
147 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
54279 |
Total Drug Medicare AllowedAmount |
28019.68 |
Total Drug Medicare PaymentAmount |
20873.77 |
Total Drug Medicare Standardized Payment Amount |
20873.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2399 |
Number Of Medicare Beneficiaries With Medical Services |
798 |
Total Medical Submitted Charge Amount |
1122056.2 |
Total Medical Medicare Allowed Amount |
259951.6 |
Total Medical Medicare Payment Amount |
188303.83 |
Total Medical Medicare Standardized Payment Amount |
204288.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
371 |
Number Of Non Hispanic White Beneficiaries |
668 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
17 |
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 |
677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4259 |