National Provider Identifier [NPI]: |
1841207370 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
UDAYA |
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 |
3475 S SUNCOAST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOMOSASSA |
Zip Code Of The Provider |
344482322 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
11459 |
Number Of Medicare Beneficiaries |
1314 |
Total Submitted Charge Amount |
1507066.02 |
Total Medicare Allowed Amount |
531122.71 |
Total Medicare Payment Amount |
403653.28 |
Total Medicare Standardized Payment Amount |
403087.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1997 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
107213.34 |
Total Drug Medicare AllowedAmount |
48310.35 |
Total Drug Medicare PaymentAmount |
37803.87 |
Total Drug Medicare Standardized Payment Amount |
37803.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
9462 |
Number Of Medicare Beneficiaries With Medical Services |
1314 |
Total Medical Submitted Charge Amount |
1399852.68 |
Total Medical Medicare Allowed Amount |
482812.36 |
Total Medical Medicare Payment Amount |
365849.41 |
Total Medical Medicare Standardized Payment Amount |
365283.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
537 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
938 |
Number Of Non Hispanic White Beneficiaries |
1234 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3578 |