Medicare Facts for Dr. Kapil G. Kapoor, MD


National Provider Identifier [NPI]: 1093906281
Last Name Of The Provider KAPOOR
First Name Of The Provider KAPIL
Middle Initial Of The Provider G
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5520 GREENWICH RD
Street Address 2 Of The Provider SUITE 204
City Of The Provider VIRGINIA BEACH
Zip Code Of The Provider 234626541
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 15782
Number Of Medicare Beneficiaries 1173
Total Submitted Charge Amount 5954357.75
Total Medicare Allowed Amount 3444212.17
Total Medicare Payment Amount 2677022.57
Total Medicare Standardized Payment Amount 2676760.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 5431
Number Of Medicare Beneficiaries With Drug Services 566
Total Drug Submitted ChargeAmount 3988494.8
Total Drug Medicare AllowedAmount 2402431.74
Total Drug Medicare PaymentAmount 1881341.38
Total Drug Medicare Standardized Payment Amount 1881341.38
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 10351
Number Of Medicare Beneficiaries With Medical Services 1173
Total Medical Submitted Charge Amount 1965862.95
Total Medical Medicare Allowed Amount 1041780.43
Total Medical Medicare Payment Amount 795681.19
Total Medical Medicare Standardized Payment Amount 795419.56
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 71
Number Of Beneficiaries Age 65 to 74 385
Number Of Beneficiaries Age 75 to 84 399
Number Of Beneficiaries Age Greater 84 318
Number Of Female Beneficiaries 687
Number Of Male Beneficiaries 486
Number Of Non Hispanic White Beneficiaries 952
Number Of Black or African American Beneficiaries 156
Number Of AsianPacific Islander Beneficiaries 21
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1083
Number Of Beneficiaries With Medicare Medicaid Entitlement 90
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 16
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.4767

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