Medicare Facts for Dr. Pankaj Kalra, MD


National Provider Identifier [NPI]: 1558354043
Last Name Of The Provider KALRA
First Name Of The Provider PANKAJ
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 20 SUNNYBROOK RD
Street Address 2 Of The Provider
City Of The Provider POTTSTOWN
Zip Code Of The Provider 194643213
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 82
Number Of Services 2259
Number Of Medicare Beneficiaries 518
Total Submitted Charge Amount 555762.43
Total Medicare Allowed Amount 181493.19
Total Medicare Payment Amount 136117.29
Total Medicare Standardized Payment Amount 129245.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 110
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 49268.95
Total Drug Medicare AllowedAmount 12753.77
Total Drug Medicare PaymentAmount 9971.09
Total Drug Medicare Standardized Payment Amount 9971.09
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 78
Number Of Medical Services 2149
Number Of Medicare Beneficiaries With Medical Services 518
Total Medical Submitted Charge Amount 506493.48
Total Medical Medicare Allowed Amount 168739.42
Total Medical Medicare Payment Amount 126146.2
Total Medical Medicare Standardized Payment Amount 119274.31
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 217
Number Of Beneficiaries Age 75 to 84 142
Number Of Beneficiaries Age Greater 84 95
Number Of Female Beneficiaries 141
Number Of Male Beneficiaries 377
Number Of Non Hispanic White Beneficiaries 475
Number Of Black or African American Beneficiaries 22
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 416
Number Of Beneficiaries With Medicare Medicaid Entitlement 102
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 23
Percent Of With Asthma 8
Percent Of With Cancer 25
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease 46
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 30
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.6563

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