National Provider Identifier [NPI]: |
1164489118 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
VINAY |
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 |
126 UNION STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARLBOROUGH |
Zip Code Of The Provider |
01752 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
4019 |
Number Of Medicare Beneficiaries |
604 |
Total Submitted Charge Amount |
557229.34 |
Total Medicare Allowed Amount |
235318.13 |
Total Medicare Payment Amount |
182428.12 |
Total Medicare Standardized Payment Amount |
172214.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
381 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
28711.5 |
Total Drug Medicare AllowedAmount |
20226.05 |
Total Drug Medicare PaymentAmount |
19158.89 |
Total Drug Medicare Standardized Payment Amount |
19158.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3638 |
Number Of Medicare Beneficiaries With Medical Services |
604 |
Total Medical Submitted Charge Amount |
528517.84 |
Total Medical Medicare Allowed Amount |
215092.08 |
Total Medical Medicare Payment Amount |
163269.23 |
Total Medical Medicare Standardized Payment Amount |
153055.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
524 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6664 |