National Provider Identifier [NPI]: |
1548209547 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
ANIL |
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 |
3 WOODLAND RD |
Street Address 2 Of The Provider |
SUITE 322 |
City Of The Provider |
STONEHAM |
Zip Code Of The Provider |
021801702 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
4673 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
751735 |
Total Medicare Allowed Amount |
251725.22 |
Total Medicare Payment Amount |
192000.63 |
Total Medicare Standardized Payment Amount |
186010.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1037 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
15790 |
Total Drug Medicare AllowedAmount |
5775.39 |
Total Drug Medicare PaymentAmount |
4527.91 |
Total Drug Medicare Standardized Payment Amount |
4527.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3636 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
735945 |
Total Medical Medicare Allowed Amount |
245949.83 |
Total Medical Medicare Payment Amount |
187472.72 |
Total Medical Medicare Standardized Payment Amount |
181482.28 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
298 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
371 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
147 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2306 |