National Provider Identifier [NPI]: |
1013191600 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
ROY |
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 |
21214 NORTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
CYPRESS |
Zip Code Of The Provider |
774293373 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
4885 |
Number Of Medicare Beneficiaries |
2857 |
Total Submitted Charge Amount |
528845.51 |
Total Medicare Allowed Amount |
135398.42 |
Total Medicare Payment Amount |
99643.72 |
Total Medicare Standardized Payment Amount |
100873.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
817 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
319.35 |
Total Drug Medicare AllowedAmount |
208.92 |
Total Drug Medicare PaymentAmount |
157.72 |
Total Drug Medicare Standardized Payment Amount |
157.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
160 |
Number Of Medical Services |
4068 |
Number Of Medicare Beneficiaries With Medical Services |
2857 |
Total Medical Submitted Charge Amount |
528526.16 |
Total Medical Medicare Allowed Amount |
135189.5 |
Total Medical Medicare Payment Amount |
99486 |
Total Medical Medicare Standardized Payment Amount |
100715.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
455 |
Number Of Beneficiaries Age 65 to 74 |
1149 |
Number Of Beneficiaries Age 75 to 84 |
814 |
Number Of Beneficiaries Age Greater 84 |
439 |
Number Of Female Beneficiaries |
1693 |
Number Of Male Beneficiaries |
1164 |
Number Of Non Hispanic White Beneficiaries |
1965 |
Number Of Black or African American Beneficiaries |
422 |
Number Of AsianPacific Islander Beneficiaries |
142 |
Number Of Hispanic Beneficiaries |
291 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
708 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9081 |