National Provider Identifier [NPI]: |
1902832249 |
Last Name Of The Provider |
KAMARA |
First Name Of The Provider |
KUMBA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24111 SOUTHFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480752817 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
4560 |
Number Of Medicare Beneficiaries |
1314 |
Total Submitted Charge Amount |
411805 |
Total Medicare Allowed Amount |
276540.82 |
Total Medicare Payment Amount |
199209.69 |
Total Medicare Standardized Payment Amount |
229681.82 |
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 |
20 |
Number Of Medical Services |
4560 |
Number Of Medicare Beneficiaries With Medical Services |
1314 |
Total Medical Submitted Charge Amount |
411805 |
Total Medical Medicare Allowed Amount |
276540.82 |
Total Medical Medicare Payment Amount |
199209.69 |
Total Medical Medicare Standardized Payment Amount |
229681.82 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
272 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
543 |
Number Of Non Hispanic White Beneficiaries |
378 |
Number Of Black or African American Beneficiaries |
905 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
991 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
72 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
4.2373 |