Medicare Facts for Dr. Heema Kaul, MD


National Provider Identifier [NPI]: 1891961736
Last Name Of The Provider KAUL
First Name Of The Provider HEEMA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 360 MERRIMACK ST
Street Address 2 Of The Provider BLDG 9, ENTRANCE I
City Of The Provider LAWRENCE
Zip Code Of The Provider 018431740
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 2912
Number Of Medicare Beneficiaries 758
Total Submitted Charge Amount 814203
Total Medicare Allowed Amount 330178.9
Total Medicare Payment Amount 247155.83
Total Medicare Standardized Payment Amount 241544.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 207
Number Of Medicare Beneficiaries With Drug Services 77
Total Drug Submitted ChargeAmount 90101
Total Drug Medicare AllowedAmount 65409.18
Total Drug Medicare PaymentAmount 51044.33
Total Drug Medicare Standardized Payment Amount 51044.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 2705
Number Of Medicare Beneficiaries With Medical Services 758
Total Medical Submitted Charge Amount 724102
Total Medical Medicare Allowed Amount 264769.72
Total Medical Medicare Payment Amount 196111.5
Total Medical Medicare Standardized Payment Amount 190500.04
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 125
Number Of Beneficiaries Age 65 to 74 280
Number Of Beneficiaries Age 75 to 84 217
Number Of Beneficiaries Age Greater 84 136
Number Of Female Beneficiaries 451
Number Of Male Beneficiaries 307
Number Of Non Hispanic White Beneficiaries 583
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 150
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 511
Number Of Beneficiaries With Medicare Medicaid Entitlement 247
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 9
Percent Of With Cancer 11
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 27
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.4388

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