National Provider Identifier [NPI]: |
1902988942 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
ANJALI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4160 JOHN R SUITE 521 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DETROIT |
Zip Code Of The Provider |
48201 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4096 |
Number Of Medicare Beneficiaries |
301 |
Total Submitted Charge Amount |
662991.61 |
Total Medicare Allowed Amount |
385946.83 |
Total Medicare Payment Amount |
291988.88 |
Total Medicare Standardized Payment Amount |
286411.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
720 |
Total Drug Medicare AllowedAmount |
216.72 |
Total Drug Medicare PaymentAmount |
212.4 |
Total Drug Medicare Standardized Payment Amount |
212.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4078 |
Number Of Medicare Beneficiaries With Medical Services |
301 |
Total Medical Submitted Charge Amount |
662271.61 |
Total Medical Medicare Allowed Amount |
385730.11 |
Total Medical Medicare Payment Amount |
291776.48 |
Total Medical Medicare Standardized Payment Amount |
286198.61 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
78 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
75 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
75 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.4818 |