National Provider Identifier [NPI]: |
1649458712 |
Last Name Of The Provider |
AGGARWAL |
First Name Of The Provider |
RAMESH |
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 |
1225 E COOLSPRING AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MICHIGAN CITY |
Zip Code Of The Provider |
463606312 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
3077 |
Number Of Medicare Beneficiaries |
674 |
Total Submitted Charge Amount |
375391 |
Total Medicare Allowed Amount |
234081.09 |
Total Medicare Payment Amount |
175699.32 |
Total Medicare Standardized Payment Amount |
184829.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
456 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
11386 |
Total Drug Medicare AllowedAmount |
7908.99 |
Total Drug Medicare PaymentAmount |
6721.68 |
Total Drug Medicare Standardized Payment Amount |
6721.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
2621 |
Number Of Medicare Beneficiaries With Medical Services |
674 |
Total Medical Submitted Charge Amount |
364005 |
Total Medical Medicare Allowed Amount |
226172.1 |
Total Medical Medicare Payment Amount |
168977.64 |
Total Medical Medicare Standardized Payment Amount |
178107.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
565 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.768 |