National Provider Identifier [NPI]: |
1043249634 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
MUKESH |
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 |
601 OAK COMMONS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347414213 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
4674 |
Number Of Medicare Beneficiaries |
1971 |
Total Submitted Charge Amount |
771128 |
Total Medicare Allowed Amount |
374936.99 |
Total Medicare Payment Amount |
284847.47 |
Total Medicare Standardized Payment Amount |
285768.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
8056 |
Total Drug Medicare AllowedAmount |
4030.94 |
Total Drug Medicare PaymentAmount |
3160.24 |
Total Drug Medicare Standardized Payment Amount |
3160.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4598 |
Number Of Medicare Beneficiaries With Medical Services |
1969 |
Total Medical Submitted Charge Amount |
763072 |
Total Medical Medicare Allowed Amount |
370906.05 |
Total Medical Medicare Payment Amount |
281687.23 |
Total Medical Medicare Standardized Payment Amount |
282607.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
351 |
Number Of Beneficiaries Age 65 to 74 |
700 |
Number Of Beneficiaries Age 75 to 84 |
586 |
Number Of Beneficiaries Age Greater 84 |
334 |
Number Of Female Beneficiaries |
1061 |
Number Of Male Beneficiaries |
910 |
Number Of Non Hispanic White Beneficiaries |
1199 |
Number Of Black or African American Beneficiaries |
234 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
468 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
608 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2804 |