National Provider Identifier [NPI]: |
1194713909 |
Last Name Of The Provider |
AGRAWAL |
First Name Of The Provider |
YASHPAL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3059 S MARYLAND PKWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891092294 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
7846 |
Number Of Medicare Beneficiaries |
1922 |
Total Submitted Charge Amount |
392536 |
Total Medicare Allowed Amount |
168531.67 |
Total Medicare Payment Amount |
124677.97 |
Total Medicare Standardized Payment Amount |
112748.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
7846 |
Number Of Medicare Beneficiaries With Medical Services |
1922 |
Total Medical Submitted Charge Amount |
392536 |
Total Medical Medicare Allowed Amount |
168531.67 |
Total Medical Medicare Payment Amount |
124677.97 |
Total Medical Medicare Standardized Payment Amount |
112748.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
797 |
Number Of Beneficiaries Age 75 to 84 |
670 |
Number Of Beneficiaries Age Greater 84 |
275 |
Number Of Female Beneficiaries |
990 |
Number Of Male Beneficiaries |
932 |
Number Of Non Hispanic White Beneficiaries |
1462 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
65 |
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1604 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
318 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1353 |