National Provider Identifier [NPI]: |
1033370788 |
Last Name Of The Provider |
KAPOOR |
First Name Of The Provider |
ASHWANI |
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 |
10600 MONTGOMERY RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452424463 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5813 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
468475.5 |
Total Medicare Allowed Amount |
209309.39 |
Total Medicare Payment Amount |
157333.65 |
Total Medicare Standardized Payment Amount |
169571.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4364 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
45436 |
Total Drug Medicare AllowedAmount |
38996.86 |
Total Drug Medicare PaymentAmount |
30576.43 |
Total Drug Medicare Standardized Payment Amount |
30576.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
1449 |
Number Of Medicare Beneficiaries With Medical Services |
705 |
Total Medical Submitted Charge Amount |
423039.5 |
Total Medical Medicare Allowed Amount |
170312.53 |
Total Medical Medicare Payment Amount |
126757.22 |
Total Medical Medicare Standardized Payment Amount |
138994.84 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
548 |
Number Of Black or African American Beneficiaries |
146 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6283 |