National Provider Identifier [NPI]: |
1942394499 |
Last Name Of The Provider |
KINGRA |
First Name Of The Provider |
SATWANT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2733 W 87TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVERGREEN PARK |
Zip Code Of The Provider |
608051104 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
14010 |
Number Of Medicare Beneficiaries |
1408 |
Total Submitted Charge Amount |
1935237 |
Total Medicare Allowed Amount |
1239972.31 |
Total Medicare Payment Amount |
964152.94 |
Total Medicare Standardized Payment Amount |
902409.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
137 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
5073 |
Total Drug Medicare AllowedAmount |
3407.07 |
Total Drug Medicare PaymentAmount |
3334.39 |
Total Drug Medicare Standardized Payment Amount |
3334.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
13873 |
Number Of Medicare Beneficiaries With Medical Services |
1408 |
Total Medical Submitted Charge Amount |
1930164 |
Total Medical Medicare Allowed Amount |
1236565.24 |
Total Medical Medicare Payment Amount |
960818.55 |
Total Medical Medicare Standardized Payment Amount |
899075.48 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
354 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
787 |
Number Of Male Beneficiaries |
621 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
803 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
124 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
910 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.8495 |