National Provider Identifier [NPI]: |
1922003797 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
PRIYA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 S LANDMARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMINGTON |
Zip Code Of The Provider |
474033239 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
9026 |
Number Of Medicare Beneficiaries |
934 |
Total Submitted Charge Amount |
534475 |
Total Medicare Allowed Amount |
281030.19 |
Total Medicare Payment Amount |
208856.6 |
Total Medicare Standardized Payment Amount |
220523.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
693 |
Number Of Medicare Beneficiaries With Drug Services |
350 |
Total Drug Submitted ChargeAmount |
48614 |
Total Drug Medicare AllowedAmount |
25084.03 |
Total Drug Medicare PaymentAmount |
23375.15 |
Total Drug Medicare Standardized Payment Amount |
23375.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
8333 |
Number Of Medicare Beneficiaries With Medical Services |
933 |
Total Medical Submitted Charge Amount |
485861 |
Total Medical Medicare Allowed Amount |
255946.16 |
Total Medical Medicare Payment Amount |
185481.45 |
Total Medical Medicare Standardized Payment Amount |
197148.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
897 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
690 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
244 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1441 |