National Provider Identifier [NPI]: |
1376597369 |
Last Name Of The Provider |
KAUSHAL |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 S LINDEN RD |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323451 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2523 |
Number Of Medicare Beneficiaries |
1240 |
Total Submitted Charge Amount |
1237435 |
Total Medicare Allowed Amount |
410624.83 |
Total Medicare Payment Amount |
321211.31 |
Total Medicare Standardized Payment Amount |
335132.54 |
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 |
51 |
Number Of Medical Services |
2523 |
Number Of Medicare Beneficiaries With Medical Services |
1240 |
Total Medical Submitted Charge Amount |
1237435 |
Total Medical Medicare Allowed Amount |
410624.83 |
Total Medical Medicare Payment Amount |
321211.31 |
Total Medical Medicare Standardized Payment Amount |
335132.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
342 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
357 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
864 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
376 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9485 |