National Provider Identifier [NPI]: |
1992886980 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
SUMANT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
103 W LEE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEATHERFORD |
Zip Code Of The Provider |
760864317 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4078 |
Number Of Medicare Beneficiaries |
294 |
Total Submitted Charge Amount |
332339.99 |
Total Medicare Allowed Amount |
283008.75 |
Total Medicare Payment Amount |
214336.62 |
Total Medicare Standardized Payment Amount |
223030.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2715 |
Total Drug Medicare AllowedAmount |
1464.56 |
Total Drug Medicare PaymentAmount |
1435.3 |
Total Drug Medicare Standardized Payment Amount |
1435.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
4013 |
Number Of Medicare Beneficiaries With Medical Services |
294 |
Total Medical Submitted Charge Amount |
329624.99 |
Total Medical Medicare Allowed Amount |
281544.19 |
Total Medical Medicare Payment Amount |
212901.32 |
Total Medical Medicare Standardized Payment Amount |
221595.61 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
263 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
54 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6429 |