National Provider Identifier [NPI]: |
1891779286 |
Last Name Of The Provider |
AGGARWAL |
First Name Of The Provider |
ASHIM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4660 S HAGADORN RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
EAST LANSING |
Zip Code Of The Provider |
488235376 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
18125 |
Number Of Medicare Beneficiaries |
889 |
Total Submitted Charge Amount |
3379855.14 |
Total Medicare Allowed Amount |
1783253.7 |
Total Medicare Payment Amount |
1367084.11 |
Total Medicare Standardized Payment Amount |
1388553.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6585 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
1114906 |
Total Drug Medicare AllowedAmount |
817623.63 |
Total Drug Medicare PaymentAmount |
640699.63 |
Total Drug Medicare Standardized Payment Amount |
640699.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
11540 |
Number Of Medicare Beneficiaries With Medical Services |
889 |
Total Medical Submitted Charge Amount |
2264949.14 |
Total Medical Medicare Allowed Amount |
965630.07 |
Total Medical Medicare Payment Amount |
726384.48 |
Total Medical Medicare Standardized Payment Amount |
747853.6 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
299 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.525 |