National Provider Identifier [NPI]: |
1689661829 |
Last Name Of The Provider |
SARMA |
First Name Of The Provider |
SUBBU |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 CARONDELET DR |
Street Address 2 Of The Provider |
220 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641144859 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1363 |
Number Of Medicare Beneficiaries |
446 |
Total Submitted Charge Amount |
197490 |
Total Medicare Allowed Amount |
125037.95 |
Total Medicare Payment Amount |
95134.54 |
Total Medicare Standardized Payment Amount |
96819.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1363 |
Number Of Medicare Beneficiaries With Medical Services |
446 |
Total Medical Submitted Charge Amount |
197490 |
Total Medical Medicare Allowed Amount |
125037.95 |
Total Medical Medicare Payment Amount |
95134.54 |
Total Medical Medicare Standardized Payment Amount |
96819.68 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
84 |
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 |
197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
51 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8978 |