National Provider Identifier [NPI]: |
1760684898 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
SUNEEL |
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 |
5333 MCAULEY DR |
Street Address 2 Of The Provider |
SUITE 6016 |
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
481971014 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
3623 |
Number Of Medicare Beneficiaries |
2777 |
Total Submitted Charge Amount |
459377 |
Total Medicare Allowed Amount |
154705.14 |
Total Medicare Payment Amount |
114494.32 |
Total Medicare Standardized Payment Amount |
112411.69 |
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 |
123 |
Number Of Medical Services |
3623 |
Number Of Medicare Beneficiaries With Medical Services |
2777 |
Total Medical Submitted Charge Amount |
459377 |
Total Medical Medicare Allowed Amount |
154705.14 |
Total Medical Medicare Payment Amount |
114494.32 |
Total Medical Medicare Standardized Payment Amount |
112411.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
475 |
Number Of Beneficiaries Age 65 to 74 |
962 |
Number Of Beneficiaries Age 75 to 84 |
828 |
Number Of Beneficiaries Age Greater 84 |
512 |
Number Of Female Beneficiaries |
1590 |
Number Of Male Beneficiaries |
1187 |
Number Of Non Hispanic White Beneficiaries |
2428 |
Number Of Black or African American Beneficiaries |
244 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2243 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
534 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8218 |