National Provider Identifier [NPI]: |
1750497269 |
Last Name Of The Provider |
AMARANENI |
First Name Of The Provider |
KUMAR |
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 |
2375 GAUSE BLVD E |
Street Address 2 Of The Provider |
|
City Of The Provider |
SLIDELL |
Zip Code Of The Provider |
704614142 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
534 |
Number Of Medicare Beneficiaries |
143 |
Total Submitted Charge Amount |
24947 |
Total Medicare Allowed Amount |
15297.95 |
Total Medicare Payment Amount |
10729.22 |
Total Medicare Standardized Payment Amount |
11653.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
285 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1545 |
Total Drug Medicare AllowedAmount |
209.7 |
Total Drug Medicare PaymentAmount |
195.18 |
Total Drug Medicare Standardized Payment Amount |
195.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
249 |
Number Of Medicare Beneficiaries With Medical Services |
143 |
Total Medical Submitted Charge Amount |
23402 |
Total Medical Medicare Allowed Amount |
15088.25 |
Total Medical Medicare Payment Amount |
10534.04 |
Total Medical Medicare Standardized Payment Amount |
11458.78 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
24 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
48 |
Number Of Non Hispanic White Beneficiaries |
121 |
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 |
117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0428 |