National Provider Identifier [NPI]: |
1871539072 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
ARAVIND |
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 |
2795 W NEW HAVEN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST MELBOURNE |
Zip Code Of The Provider |
329043705 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
6967.5 |
Number Of Medicare Beneficiaries |
1035 |
Total Submitted Charge Amount |
953916 |
Total Medicare Allowed Amount |
581510.45 |
Total Medicare Payment Amount |
453409.79 |
Total Medicare Standardized Payment Amount |
452158.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
211.5 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
6557 |
Total Drug Medicare AllowedAmount |
2030.3 |
Total Drug Medicare PaymentAmount |
1940.12 |
Total Drug Medicare Standardized Payment Amount |
1940.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
6756 |
Number Of Medicare Beneficiaries With Medical Services |
1035 |
Total Medical Submitted Charge Amount |
947359 |
Total Medical Medicare Allowed Amount |
579480.15 |
Total Medical Medicare Payment Amount |
451469.67 |
Total Medical Medicare Standardized Payment Amount |
450217.94 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
238 |
Number Of Female Beneficiaries |
562 |
Number Of Male Beneficiaries |
473 |
Number Of Non Hispanic White Beneficiaries |
916 |
Number Of Black or African American Beneficiaries |
69 |
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 |
806 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9745 |