National Provider Identifier [NPI]: |
1730271768 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
JAI |
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 |
601 CLARA BARTON BLVD |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
750425738 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2303 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
331938 |
Total Medicare Allowed Amount |
194838.84 |
Total Medicare Payment Amount |
146692.21 |
Total Medicare Standardized Payment Amount |
145592.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
322 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1187.5 |
Total Drug Medicare AllowedAmount |
189.35 |
Total Drug Medicare PaymentAmount |
167.58 |
Total Drug Medicare Standardized Payment Amount |
167.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1981 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
330750.5 |
Total Medical Medicare Allowed Amount |
194649.49 |
Total Medical Medicare Payment Amount |
146524.63 |
Total Medical Medicare Standardized Payment Amount |
145425.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
377 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
36 |
Average HCC Risk Score Of Beneficiaries |
2.0074 |