National Provider Identifier [NPI]: |
1063679520 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
DEEPAK |
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 |
101 MEMORIAL HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366081786 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
15677 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
933625 |
Total Medicare Allowed Amount |
691538.55 |
Total Medicare Payment Amount |
521929.68 |
Total Medicare Standardized Payment Amount |
541304.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
10554 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
588254 |
Total Drug Medicare AllowedAmount |
460984.4 |
Total Drug Medicare PaymentAmount |
348174.33 |
Total Drug Medicare Standardized Payment Amount |
348174.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
5123 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
345371 |
Total Medical Medicare Allowed Amount |
230554.15 |
Total Medical Medicare Payment Amount |
173755.35 |
Total Medical Medicare Standardized Payment Amount |
193130.66 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
|
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 |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2406 |