National Provider Identifier [NPI]: |
1366430993 |
Last Name Of The Provider |
YOGESH |
First Name Of The Provider |
KUMAR |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
130 E LOCUST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DRESDEN |
Zip Code Of The Provider |
382251467 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
14598 |
Number Of Medicare Beneficiaries |
1190 |
Total Submitted Charge Amount |
1397147 |
Total Medicare Allowed Amount |
582876.81 |
Total Medicare Payment Amount |
423422.97 |
Total Medicare Standardized Payment Amount |
462189.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
4601 |
Number Of Medicare Beneficiaries With Drug Services |
459 |
Total Drug Submitted ChargeAmount |
74933 |
Total Drug Medicare AllowedAmount |
6249.3 |
Total Drug Medicare PaymentAmount |
5180.2 |
Total Drug Medicare Standardized Payment Amount |
5180.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
9997 |
Number Of Medicare Beneficiaries With Medical Services |
1190 |
Total Medical Submitted Charge Amount |
1322214 |
Total Medical Medicare Allowed Amount |
576627.51 |
Total Medical Medicare Payment Amount |
418242.77 |
Total Medical Medicare Standardized Payment Amount |
457008.89 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
305 |
Number Of Beneficiaries Age 65 to 74 |
505 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
633 |
Number Of Male Beneficiaries |
557 |
Number Of Non Hispanic White Beneficiaries |
1064 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
12 |
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 |
787 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
403 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3634 |