National Provider Identifier [NPI]: |
1902982879 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
SANJAYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
115 WATER STREET |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
MILFORD |
Zip Code Of The Provider |
017573011 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
6134.5 |
Number Of Medicare Beneficiaries |
859 |
Total Submitted Charge Amount |
1157582.75 |
Total Medicare Allowed Amount |
356352.62 |
Total Medicare Payment Amount |
266918.96 |
Total Medicare Standardized Payment Amount |
261193.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1392.5 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
51139.5 |
Total Drug Medicare AllowedAmount |
16664.15 |
Total Drug Medicare PaymentAmount |
12747.94 |
Total Drug Medicare Standardized Payment Amount |
12747.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
4742 |
Number Of Medicare Beneficiaries With Medical Services |
859 |
Total Medical Submitted Charge Amount |
1106443.25 |
Total Medical Medicare Allowed Amount |
339688.47 |
Total Medical Medicare Payment Amount |
254171.02 |
Total Medical Medicare Standardized Payment Amount |
248446.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
806 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3792 |