National Provider Identifier [NPI]: |
1093886657 |
Last Name Of The Provider |
GUPTA |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
625 KENT AVE STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CUMBERLAND |
Zip Code Of The Provider |
215023798 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
8044 |
Number Of Medicare Beneficiaries |
1515 |
Total Submitted Charge Amount |
694055.6 |
Total Medicare Allowed Amount |
666989.38 |
Total Medicare Payment Amount |
527540.35 |
Total Medicare Standardized Payment Amount |
500860.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
547 |
Number Of Medicare Beneficiaries With Drug Services |
264 |
Total Drug Submitted ChargeAmount |
13808 |
Total Drug Medicare AllowedAmount |
13239.29 |
Total Drug Medicare PaymentAmount |
12796.39 |
Total Drug Medicare Standardized Payment Amount |
12796.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
7497 |
Number Of Medicare Beneficiaries With Medical Services |
1515 |
Total Medical Submitted Charge Amount |
680247.6 |
Total Medical Medicare Allowed Amount |
653750.09 |
Total Medical Medicare Payment Amount |
514743.96 |
Total Medical Medicare Standardized Payment Amount |
488063.8 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
478 |
Number Of Beneficiaries Age 75 to 84 |
453 |
Number Of Beneficiaries Age Greater 84 |
451 |
Number Of Female Beneficiaries |
944 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
1466 |
Number Of Black or African American Beneficiaries |
28 |
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 |
1067 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
448 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6891 |