National Provider Identifier [NPI]: |
1114954823 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
SANJEEV |
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 |
330 ARKANSAS ST |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
LAWRENCE |
Zip Code Of The Provider |
660441335 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
11738 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
357467 |
Total Medicare Allowed Amount |
182185.5 |
Total Medicare Payment Amount |
137813.81 |
Total Medicare Standardized Payment Amount |
141509.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
10700 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
86400 |
Total Drug Medicare AllowedAmount |
58797.1 |
Total Drug Medicare PaymentAmount |
46061.7 |
Total Drug Medicare Standardized Payment Amount |
46061.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1038 |
Number Of Medicare Beneficiaries With Medical Services |
503 |
Total Medical Submitted Charge Amount |
271067 |
Total Medical Medicare Allowed Amount |
123388.4 |
Total Medical Medicare Payment Amount |
91752.11 |
Total Medical Medicare Standardized Payment Amount |
95447.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
453 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.1946 |