National Provider Identifier [NPI]: |
1083697320 |
Last Name Of The Provider |
KUMARI |
First Name Of The Provider |
PARDEEP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2120 E JOHNSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
32514 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
127338 |
Number Of Medicare Beneficiaries |
675 |
Total Submitted Charge Amount |
2954435.5 |
Total Medicare Allowed Amount |
1395777.21 |
Total Medicare Payment Amount |
1084042.78 |
Total Medicare Standardized Payment Amount |
1081099.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
26 |
Number Of Drug Services |
108991 |
Number Of Medicare Beneficiaries With Drug Services |
255 |
Total Drug Submitted ChargeAmount |
393370.5 |
Total Drug Medicare AllowedAmount |
110682.5 |
Total Drug Medicare PaymentAmount |
86744.31 |
Total Drug Medicare Standardized Payment Amount |
86744.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
18347 |
Number Of Medicare Beneficiaries With Medical Services |
675 |
Total Medical Submitted Charge Amount |
2561065 |
Total Medical Medicare Allowed Amount |
1285094.71 |
Total Medical Medicare Payment Amount |
997298.47 |
Total Medical Medicare Standardized Payment Amount |
994355 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.5236 |