National Provider Identifier [NPI]: |
1447387436 |
Last Name Of The Provider |
KAMRA |
First Name Of The Provider |
AMIT |
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 |
4453 CASTOR AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191243846 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
39121 |
Number Of Medicare Beneficiaries |
476 |
Total Submitted Charge Amount |
6292581 |
Total Medicare Allowed Amount |
1993798.47 |
Total Medicare Payment Amount |
1547140.15 |
Total Medicare Standardized Payment Amount |
1492231.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
36318 |
Number Of Medicare Beneficiaries With Drug Services |
440 |
Total Drug Submitted ChargeAmount |
44535 |
Total Drug Medicare AllowedAmount |
11893.92 |
Total Drug Medicare PaymentAmount |
9318.74 |
Total Drug Medicare Standardized Payment Amount |
9318.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2803 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
6248046 |
Total Medical Medicare Allowed Amount |
1981904.55 |
Total Medical Medicare Payment Amount |
1537821.41 |
Total Medical Medicare Standardized Payment Amount |
1482913.25 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
276 |
Number Of Beneficiaries Age 65 to 74 |
119 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
87 |
Number Of Black or African American Beneficiaries |
291 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
166 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
8.2767 |