| National Provider Identifier [NPI]: | 1689725301 |
| Last Name Of The Provider | BHAVSAR |
| First Name Of The Provider | TEJ |
| 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 | 500 WALTER ST NE |
| Street Address 2 Of The Provider | SUITE 309 |
| City Of The Provider | ALBUQUERQUE |
| Zip Code Of The Provider | 871022534 |
| State Code Of The Provider | NM |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 172 |
| Number Of Services | 9350 |
| Number Of Medicare Beneficiaries | 2147 |
| Total Submitted Charge Amount | 468843 |
| Total Medicare Allowed Amount | 190899.02 |
| Total Medicare Payment Amount | 146811.72 |
| Total Medicare Standardized Payment Amount | 160588.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 5508 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 6347 |
| Total Drug Medicare AllowedAmount | 1415.42 |
| Total Drug Medicare PaymentAmount | 1092.93 |
| Total Drug Medicare Standardized Payment Amount | 1092.93 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 3842 |
| Number Of Medicare Beneficiaries With Medical Services | 2146 |
| Total Medical Submitted Charge Amount | 462496 |
| Total Medical Medicare Allowed Amount | 189483.6 |
| Total Medical Medicare Payment Amount | 145718.79 |
| Total Medical Medicare Standardized Payment Amount | 159495.67 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 429 |
| Number Of Beneficiaries Age 65 to 74 | 978 |
| Number Of Beneficiaries Age 75 to 84 | 546 |
| Number Of Beneficiaries Age Greater 84 | 194 |
| Number Of Female Beneficiaries | 1480 |
| Number Of Male Beneficiaries | 667 |
| Number Of Non Hispanic White Beneficiaries | 1384 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 28 |
| Number Of Hispanic Beneficiaries | 593 |
| Number Of American Indian Alaska Native Beneficiaries | 44 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1693 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 454 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 54 |
| Percent Of With Ischemic Heart Disease | 20 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1334 |