National Provider Identifier [NPI]: |
1629169784 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
NITIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8001 FORBES PL |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
221512208 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
216 |
Number Of Services |
7693 |
Number Of Medicare Beneficiaries |
4184 |
Total Submitted Charge Amount |
1404139 |
Total Medicare Allowed Amount |
307434.65 |
Total Medicare Payment Amount |
238120.85 |
Total Medicare Standardized Payment Amount |
221057.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
346 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1730 |
Total Drug Medicare AllowedAmount |
681.99 |
Total Drug Medicare PaymentAmount |
506.89 |
Total Drug Medicare Standardized Payment Amount |
506.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
215 |
Number Of Medical Services |
7347 |
Number Of Medicare Beneficiaries With Medical Services |
4183 |
Total Medical Submitted Charge Amount |
1402409 |
Total Medical Medicare Allowed Amount |
306752.66 |
Total Medical Medicare Payment Amount |
237613.96 |
Total Medical Medicare Standardized Payment Amount |
220550.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
494 |
Number Of Beneficiaries Age 65 to 74 |
1507 |
Number Of Beneficiaries Age 75 to 84 |
1259 |
Number Of Beneficiaries Age Greater 84 |
924 |
Number Of Female Beneficiaries |
2532 |
Number Of Male Beneficiaries |
1652 |
Number Of Non Hispanic White Beneficiaries |
2761 |
Number Of Black or African American Beneficiaries |
861 |
Number Of AsianPacific Islander Beneficiaries |
258 |
Number Of Hispanic Beneficiaries |
211 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
845 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6093 |