National Provider Identifier [NPI]: |
1154328185 |
Last Name Of The Provider |
SUNKARA |
First Name Of The Provider |
KRISHNA |
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 |
17680 KEDZIE AVE |
Street Address 2 Of The Provider |
101 |
City Of The Provider |
HAZEL CREST |
Zip Code Of The Provider |
604292043 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
7582 |
Number Of Medicare Beneficiaries |
708 |
Total Submitted Charge Amount |
1930529 |
Total Medicare Allowed Amount |
886276.17 |
Total Medicare Payment Amount |
680858.08 |
Total Medicare Standardized Payment Amount |
660725.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
1665 |
Total Drug Medicare AllowedAmount |
734.02 |
Total Drug Medicare PaymentAmount |
676.8 |
Total Drug Medicare Standardized Payment Amount |
676.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
7472 |
Number Of Medicare Beneficiaries With Medical Services |
708 |
Total Medical Submitted Charge Amount |
1928864 |
Total Medical Medicare Allowed Amount |
885542.15 |
Total Medical Medicare Payment Amount |
680181.28 |
Total Medical Medicare Standardized Payment Amount |
660048.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
205 |
Number Of Black or African American Beneficiaries |
469 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
345 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
71 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
3.7665 |