National Provider Identifier [NPI]: |
1306863063 |
Last Name Of The Provider |
KUNDUR |
First Name Of The Provider |
RAMESH |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6120 HARBOURSIDE CENTRE LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDLOTHIAN |
Zip Code Of The Provider |
231122170 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
4981 |
Number Of Medicare Beneficiaries |
1546 |
Total Submitted Charge Amount |
1651162 |
Total Medicare Allowed Amount |
553154.4 |
Total Medicare Payment Amount |
416075.33 |
Total Medicare Standardized Payment Amount |
427985.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
752 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
72855 |
Total Drug Medicare AllowedAmount |
34379.49 |
Total Drug Medicare PaymentAmount |
26481.17 |
Total Drug Medicare Standardized Payment Amount |
26481.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4229 |
Number Of Medicare Beneficiaries With Medical Services |
1545 |
Total Medical Submitted Charge Amount |
1578307 |
Total Medical Medicare Allowed Amount |
518774.91 |
Total Medical Medicare Payment Amount |
389594.16 |
Total Medical Medicare Standardized Payment Amount |
401504.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
660 |
Number Of Beneficiaries Age 75 to 84 |
502 |
Number Of Beneficiaries Age Greater 84 |
262 |
Number Of Female Beneficiaries |
803 |
Number Of Male Beneficiaries |
743 |
Number Of Non Hispanic White Beneficiaries |
1250 |
Number Of Black or African American Beneficiaries |
257 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.4854 |