National Provider Identifier [NPI]: |
1336293497 |
Last Name Of The Provider |
KUNDLAS |
First Name Of The Provider |
KULMEET |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1143 STATE ROAD 60 E |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKE WALES |
Zip Code Of The Provider |
338534320 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
6552 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
874914.5 |
Total Medicare Allowed Amount |
451184.32 |
Total Medicare Payment Amount |
337937.03 |
Total Medicare Standardized Payment Amount |
339043.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1571 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
16555.3 |
Total Drug Medicare AllowedAmount |
1149.13 |
Total Drug Medicare PaymentAmount |
1063.43 |
Total Drug Medicare Standardized Payment Amount |
1063.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4981 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
858359.2 |
Total Medical Medicare Allowed Amount |
450035.19 |
Total Medical Medicare Payment Amount |
336873.6 |
Total Medical Medicare Standardized Payment Amount |
337980 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
255 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
489 |
Number Of Male Beneficiaries |
425 |
Number Of Non Hispanic White Beneficiaries |
706 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
385 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9701 |