National Provider Identifier [NPI]: |
1083705818 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
RAJENDRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1515 HOLCOMBE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770304009 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
3819 |
Number Of Medicare Beneficiaries |
2838 |
Total Submitted Charge Amount |
451302 |
Total Medicare Allowed Amount |
76373.98 |
Total Medicare Payment Amount |
55627.84 |
Total Medicare Standardized Payment Amount |
55960.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3819 |
Number Of Medicare Beneficiaries With Medical Services |
2838 |
Total Medical Submitted Charge Amount |
451302 |
Total Medical Medicare Allowed Amount |
76373.98 |
Total Medical Medicare Payment Amount |
55627.84 |
Total Medical Medicare Standardized Payment Amount |
55960.31 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
434 |
Number Of Beneficiaries Age 65 to 74 |
1499 |
Number Of Beneficiaries Age 75 to 84 |
763 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
1303 |
Number Of Male Beneficiaries |
1535 |
Number Of Non Hispanic White Beneficiaries |
2155 |
Number Of Black or African American Beneficiaries |
280 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
291 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2509 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.3397 |