National Provider Identifier [NPI]: |
1265414395 |
Last Name Of The Provider |
KAPOOR |
First Name Of The Provider |
AJOY |
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 |
46 PRINCE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW HAVEN |
Zip Code Of The Provider |
065191600 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4414 |
Number Of Medicare Beneficiaries |
1125 |
Total Submitted Charge Amount |
733134 |
Total Medicare Allowed Amount |
419048.19 |
Total Medicare Payment Amount |
311874.79 |
Total Medicare Standardized Payment Amount |
292129.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
220 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
16470 |
Total Drug Medicare AllowedAmount |
11655.22 |
Total Drug Medicare PaymentAmount |
9078.43 |
Total Drug Medicare Standardized Payment Amount |
9078.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4194 |
Number Of Medicare Beneficiaries With Medical Services |
1125 |
Total Medical Submitted Charge Amount |
716664 |
Total Medical Medicare Allowed Amount |
407392.97 |
Total Medical Medicare Payment Amount |
302796.36 |
Total Medical Medicare Standardized Payment Amount |
283051.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
638 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
950 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
322 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5256 |