National Provider Identifier [NPI]: |
1154408516 |
Last Name Of The Provider |
AGIA |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1A REGULUS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TURNERSVILLE |
Zip Code Of The Provider |
08012 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
4900 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
384454.8 |
Total Medicare Allowed Amount |
297308.33 |
Total Medicare Payment Amount |
226555 |
Total Medicare Standardized Payment Amount |
216262.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1491 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
41899.8 |
Total Drug Medicare AllowedAmount |
37076.45 |
Total Drug Medicare PaymentAmount |
29112.37 |
Total Drug Medicare Standardized Payment Amount |
29112.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3409 |
Number Of Medicare Beneficiaries With Medical Services |
612 |
Total Medical Submitted Charge Amount |
342555 |
Total Medical Medicare Allowed Amount |
260231.88 |
Total Medical Medicare Payment Amount |
197442.63 |
Total Medical Medicare Standardized Payment Amount |
187150.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
548 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5556 |