National Provider Identifier [NPI]: |
1871695049 |
Last Name Of The Provider |
GARG |
First Name Of The Provider |
MEGHA |
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 |
1 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652120001 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
5952 |
Number Of Medicare Beneficiaries |
3066 |
Total Submitted Charge Amount |
477465 |
Total Medicare Allowed Amount |
116954.88 |
Total Medicare Payment Amount |
91350.29 |
Total Medicare Standardized Payment Amount |
96011.36 |
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 |
129 |
Number Of Medical Services |
5952 |
Number Of Medicare Beneficiaries With Medical Services |
3066 |
Total Medical Submitted Charge Amount |
477465 |
Total Medical Medicare Allowed Amount |
116954.88 |
Total Medical Medicare Payment Amount |
91350.29 |
Total Medical Medicare Standardized Payment Amount |
96011.36 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
958 |
Number Of Beneficiaries Age 65 to 74 |
1147 |
Number Of Beneficiaries Age 75 to 84 |
703 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
2124 |
Number Of Male Beneficiaries |
942 |
Number Of Non Hispanic White Beneficiaries |
2775 |
Number Of Black or African American Beneficiaries |
220 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2106 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
960 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.505 |