National Provider Identifier [NPI]: |
1942280672 |
Last Name Of The Provider |
AGARWAL |
First Name Of The Provider |
HIMANSHU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7500 MERCY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681242319 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
3036 |
Number Of Medicare Beneficiaries |
1176 |
Total Submitted Charge Amount |
519891 |
Total Medicare Allowed Amount |
237539.33 |
Total Medicare Payment Amount |
179541.4 |
Total Medicare Standardized Payment Amount |
196767.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
104 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
11696 |
Total Drug Medicare AllowedAmount |
5507.53 |
Total Drug Medicare PaymentAmount |
4317.89 |
Total Drug Medicare Standardized Payment Amount |
4317.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
2932 |
Number Of Medicare Beneficiaries With Medical Services |
1176 |
Total Medical Submitted Charge Amount |
508195 |
Total Medical Medicare Allowed Amount |
232031.8 |
Total Medical Medicare Payment Amount |
175223.51 |
Total Medical Medicare Standardized Payment Amount |
192449.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
361 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
630 |
Number Of Male Beneficiaries |
546 |
Number Of Non Hispanic White Beneficiaries |
1041 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
977 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6362 |