National Provider Identifier [NPI]: |
1497716575 |
Last Name Of The Provider |
KUMAR |
First Name Of The Provider |
VISHAD |
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 |
3950 NEW COVINGTON PIKE |
Street Address 2 Of The Provider |
SUITE 270 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38128 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
8071 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
874734.97 |
Total Medicare Allowed Amount |
272750.01 |
Total Medicare Payment Amount |
178434.86 |
Total Medicare Standardized Payment Amount |
195165.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
5860 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
132289 |
Total Drug Medicare AllowedAmount |
54160.09 |
Total Drug Medicare PaymentAmount |
15130.8 |
Total Drug Medicare Standardized Payment Amount |
15130.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2211 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
742445.97 |
Total Medical Medicare Allowed Amount |
218589.92 |
Total Medical Medicare Payment Amount |
163304.06 |
Total Medical Medicare Standardized Payment Amount |
180035.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
521 |
Number Of Black or African American Beneficiaries |
172 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.7757 |