National Provider Identifier [NPI]: |
1043472228 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
MANDEEP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2110 SILAS DEANE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKY HILL |
Zip Code Of The Provider |
060672313 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
1909 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
336365 |
Total Medicare Allowed Amount |
190230.88 |
Total Medicare Payment Amount |
148729.25 |
Total Medicare Standardized Payment Amount |
140536.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1909 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
336365 |
Total Medical Medicare Allowed Amount |
190230.88 |
Total Medical Medicare Payment Amount |
148729.25 |
Total Medical Medicare Standardized Payment Amount |
140536.96 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
295 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
425 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
294 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.8261 |