National Provider Identifier [NPI]: |
1518963032 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
ASHOK |
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 |
ACE MEDICAL GROUP, 4477 W 118TH ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
HAWTHORNE |
Zip Code Of The Provider |
902502257 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
10185 |
Number Of Medicare Beneficiaries |
933 |
Total Submitted Charge Amount |
943425 |
Total Medicare Allowed Amount |
703525.16 |
Total Medicare Payment Amount |
544723.13 |
Total Medicare Standardized Payment Amount |
453910.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
179 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
4875 |
Total Drug Medicare AllowedAmount |
3050.24 |
Total Drug Medicare PaymentAmount |
2988.9 |
Total Drug Medicare Standardized Payment Amount |
2988.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
10006 |
Number Of Medicare Beneficiaries With Medical Services |
933 |
Total Medical Submitted Charge Amount |
938550 |
Total Medical Medicare Allowed Amount |
700474.92 |
Total Medical Medicare Payment Amount |
541734.23 |
Total Medical Medicare Standardized Payment Amount |
450921.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
549 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
146 |
Number Of Black or African American Beneficiaries |
438 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
275 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
194 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
739 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.0648 |