National Provider Identifier [NPI]: |
1689795833 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
DEEPTI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
123 SUMMER ST |
Street Address 2 Of The Provider |
SUITE 290 N |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
01608 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
4018 |
Number Of Medicare Beneficiaries |
1659 |
Total Submitted Charge Amount |
736546.73 |
Total Medicare Allowed Amount |
282928.09 |
Total Medicare Payment Amount |
212376.53 |
Total Medicare Standardized Payment Amount |
207711.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
271 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
21174.73 |
Total Drug Medicare AllowedAmount |
14195.44 |
Total Drug Medicare PaymentAmount |
10962.77 |
Total Drug Medicare Standardized Payment Amount |
10962.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3747 |
Number Of Medicare Beneficiaries With Medical Services |
1659 |
Total Medical Submitted Charge Amount |
715372 |
Total Medical Medicare Allowed Amount |
268732.65 |
Total Medical Medicare Payment Amount |
201413.76 |
Total Medical Medicare Standardized Payment Amount |
196748.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
352 |
Number Of Beneficiaries Age 65 to 74 |
610 |
Number Of Beneficiaries Age 75 to 84 |
453 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
848 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1482 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
472 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.649 |