National Provider Identifier [NPI]: |
1427068097 |
Last Name Of The Provider |
KAUL |
First Name Of The Provider |
SHARDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
421 MERRIMACK ST |
Street Address 2 Of The Provider |
SUITE 101 A |
City Of The Provider |
METHUEN |
Zip Code Of The Provider |
018445864 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1919 |
Number Of Medicare Beneficiaries |
348 |
Total Submitted Charge Amount |
274763.19 |
Total Medicare Allowed Amount |
131595.51 |
Total Medicare Payment Amount |
99130.09 |
Total Medicare Standardized Payment Amount |
97103.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
187 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
6120.19 |
Total Drug Medicare AllowedAmount |
3691.5 |
Total Drug Medicare PaymentAmount |
3601.71 |
Total Drug Medicare Standardized Payment Amount |
3601.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1732 |
Number Of Medicare Beneficiaries With Medical Services |
348 |
Total Medical Submitted Charge Amount |
268643 |
Total Medical Medicare Allowed Amount |
127904.01 |
Total Medical Medicare Payment Amount |
95528.38 |
Total Medical Medicare Standardized Payment Amount |
93501.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9848 |