National Provider Identifier [NPI]: |
1003813015 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
NEIL |
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 |
2510 NW EDENBOWER BLVD |
Street Address 2 Of The Provider |
SUITE # 176 |
City Of The Provider |
ROSEBURG |
Zip Code Of The Provider |
974718899 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
111637 |
Number Of Medicare Beneficiaries |
1069 |
Total Submitted Charge Amount |
4114115 |
Total Medicare Allowed Amount |
2021247.51 |
Total Medicare Payment Amount |
1540452.73 |
Total Medicare Standardized Payment Amount |
1562207.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
97120 |
Number Of Medicare Beneficiaries With Drug Services |
323 |
Total Drug Submitted ChargeAmount |
2056800 |
Total Drug Medicare AllowedAmount |
1128303.86 |
Total Drug Medicare PaymentAmount |
875464.94 |
Total Drug Medicare Standardized Payment Amount |
875464.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
14517 |
Number Of Medicare Beneficiaries With Medical Services |
1069 |
Total Medical Submitted Charge Amount |
2057315 |
Total Medical Medicare Allowed Amount |
892943.65 |
Total Medical Medicare Payment Amount |
664987.79 |
Total Medical Medicare Standardized Payment Amount |
686743.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
623 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
1019 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
836 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.251 |