National Provider Identifier [NPI]: |
1992890685 |
Last Name Of The Provider |
KAKKAR |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 W OAK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347414421 |
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 |
85 |
Number Of Services |
12162 |
Number Of Medicare Beneficiaries |
4497 |
Total Submitted Charge Amount |
967227.78 |
Total Medicare Allowed Amount |
558575.56 |
Total Medicare Payment Amount |
418935.59 |
Total Medicare Standardized Payment Amount |
426927.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
258 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
18912 |
Total Drug Medicare AllowedAmount |
13347.07 |
Total Drug Medicare PaymentAmount |
10298.68 |
Total Drug Medicare Standardized Payment Amount |
10298.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
11904 |
Number Of Medicare Beneficiaries With Medical Services |
4497 |
Total Medical Submitted Charge Amount |
948315.78 |
Total Medical Medicare Allowed Amount |
545228.49 |
Total Medical Medicare Payment Amount |
408636.91 |
Total Medical Medicare Standardized Payment Amount |
416629.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
879 |
Number Of Beneficiaries Age 65 to 74 |
1484 |
Number Of Beneficiaries Age 75 to 84 |
1331 |
Number Of Beneficiaries Age Greater 84 |
803 |
Number Of Female Beneficiaries |
2497 |
Number Of Male Beneficiaries |
2000 |
Number Of Non Hispanic White Beneficiaries |
2927 |
Number Of Black or African American Beneficiaries |
646 |
Number Of AsianPacific Islander Beneficiaries |
74 |
Number Of Hispanic Beneficiaries |
777 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3057 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1440 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3132 |