Medicare Facts for Dr. Pradeep Kumar, MD


National Provider Identifier [NPI]: 1295838746
Last Name Of The Provider KUMAR
First Name Of The Provider PRADEEP
Middle Initial Of The Provider
Credentials Of The Provider MD FACC FSCAI
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1900 MOWRY AVE
Street Address 2 Of The Provider SUITE 309
City Of The Provider FREMONT
Zip Code Of The Provider 945381722
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 78
Number Of Services 6551
Number Of Medicare Beneficiaries 1154
Total Submitted Charge Amount 1243780.17
Total Medicare Allowed Amount 728426.06
Total Medicare Payment Amount 564350.86
Total Medicare Standardized Payment Amount 499273.92
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 1255
Number Of Medicare Beneficiaries With Drug Services 98
Total Drug Submitted ChargeAmount 24770.39
Total Drug Medicare AllowedAmount 11797.11
Total Drug Medicare PaymentAmount 9394.93
Total Drug Medicare Standardized Payment Amount 9394.93
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 72
Number Of Medical Services 5296
Number Of Medicare Beneficiaries With Medical Services 1154
Total Medical Submitted Charge Amount 1219009.78
Total Medical Medicare Allowed Amount 716628.95
Total Medical Medicare Payment Amount 554955.93
Total Medical Medicare Standardized Payment Amount 489878.99
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 195
Number Of Beneficiaries Age 65 to 74 394
Number Of Beneficiaries Age 75 to 84 315
Number Of Beneficiaries Age Greater 84 250
Number Of Female Beneficiaries 653
Number Of Male Beneficiaries 501
Number Of Non Hispanic White Beneficiaries 374
Number Of Black or African American Beneficiaries 128
Number Of AsianPacific Islander Beneficiaries 395
Number Of Hispanic Beneficiaries 212
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 445
Number Of Beneficiaries With Medicare Medicaid Entitlement 709
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 24
Percent Of With Asthma 17
Percent Of With Cancer 11
Percent Of With Heart Failure 40
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 25
Percent Of With Diabetes 60
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 1.9761

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