National Provider Identifier [NPI]: |
1801833173 |
Last Name Of The Provider |
KAKKAR |
First Name Of The Provider |
AMAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1505 NORTHSIDE BLVD |
Street Address 2 Of The Provider |
SUITE 4000 |
City Of The Provider |
CUMMING |
Zip Code Of The Provider |
300419349 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
6750 |
Number Of Medicare Beneficiaries |
1582 |
Total Submitted Charge Amount |
1463064.92 |
Total Medicare Allowed Amount |
627206.75 |
Total Medicare Payment Amount |
466245.67 |
Total Medicare Standardized Payment Amount |
470242.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
423 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
33840 |
Total Drug Medicare AllowedAmount |
22398.77 |
Total Drug Medicare PaymentAmount |
17394.09 |
Total Drug Medicare Standardized Payment Amount |
17394.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
6327 |
Number Of Medicare Beneficiaries With Medical Services |
1582 |
Total Medical Submitted Charge Amount |
1429224.92 |
Total Medical Medicare Allowed Amount |
604807.98 |
Total Medical Medicare Payment Amount |
448851.58 |
Total Medical Medicare Standardized Payment Amount |
452848.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
541 |
Number Of Beneficiaries Age Greater 84 |
267 |
Number Of Female Beneficiaries |
845 |
Number Of Male Beneficiaries |
737 |
Number Of Non Hispanic White Beneficiaries |
1458 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6634 |