National Provider Identifier [NPI]: |
1568464485 |
Last Name Of The Provider |
BHAGAT |
First Name Of The Provider |
JAGDISH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
G1071 N BALLENGER HIGHWAY |
Street Address 2 Of The Provider |
PARK PLAZA SUITE 206 |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485044453 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4366 |
Number Of Medicare Beneficiaries |
452 |
Total Submitted Charge Amount |
397879.8 |
Total Medicare Allowed Amount |
248041.82 |
Total Medicare Payment Amount |
191970.87 |
Total Medicare Standardized Payment Amount |
200027.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
959 |
Number Of Medicare Beneficiaries With Drug Services |
250 |
Total Drug Submitted ChargeAmount |
15166.8 |
Total Drug Medicare AllowedAmount |
8696.76 |
Total Drug Medicare PaymentAmount |
7911.2 |
Total Drug Medicare Standardized Payment Amount |
7911.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3407 |
Number Of Medicare Beneficiaries With Medical Services |
452 |
Total Medical Submitted Charge Amount |
382713 |
Total Medical Medicare Allowed Amount |
239345.06 |
Total Medical Medicare Payment Amount |
184059.67 |
Total Medical Medicare Standardized Payment Amount |
192116.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
295 |
Number Of Black or African American Beneficiaries |
146 |
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 |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2472 |