National Provider Identifier [NPI]: |
1669458261 |
Last Name Of The Provider |
MORAR |
First Name Of The Provider |
KAMAL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3075 GOVERNORS PLACE BLVD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
KETTERING |
Zip Code Of The Provider |
454091323 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
15032 |
Number Of Medicare Beneficiaries |
302 |
Total Submitted Charge Amount |
944109 |
Total Medicare Allowed Amount |
507918.09 |
Total Medicare Payment Amount |
384012.29 |
Total Medicare Standardized Payment Amount |
417789.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
13756 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
17591 |
Total Drug Medicare AllowedAmount |
3918.03 |
Total Drug Medicare PaymentAmount |
3014.69 |
Total Drug Medicare Standardized Payment Amount |
3014.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
1276 |
Number Of Medicare Beneficiaries With Medical Services |
302 |
Total Medical Submitted Charge Amount |
926518 |
Total Medical Medicare Allowed Amount |
504000.06 |
Total Medical Medicare Payment Amount |
380997.6 |
Total Medical Medicare Standardized Payment Amount |
414775.22 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
129 |
Number Of Non Hispanic White Beneficiaries |
245 |
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 |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.8205 |