Vikramjeet Kumar MD

Gender: M
Medical School: Other
Graduation Year: 1994
Primary Specialty: General Practice

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted25
Total Provider Services12855
Total Medicare beneficiaries receiving the provider services761
The total charges that the provider submitted for all services$405,368.00
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$232,330.44
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$163,076.23
Total Medicare Standardized Payment Amount$177,320.65
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File3
Total drug services, as defined from the Medicare Part B Drug ASP File10571
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.28
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$29,555.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$16,606.20
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$12,660.20
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$12,660.20
Total number of HCPCS codes associated with medical (non-ASP) services22
Total medical (non-ASP) services2284
Total Medicare beneficiaries receiving medical (non-ASP) services761
The total charges that the provider submitted for medical services (non-ASP)$375,813.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$215,724.24
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$150,416.03
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$164,660.45
Average age of beneficiaries71
Number of beneficiaries under the age of 65146
Number of beneficiaries between the ages of 65 and 74340
Number of beneficiaries between the ages of 75 and 84222
Number of beneficiaries over the age of 8453
Number of Female beneficiaries440
Number of Male Beneficiaries321
Number of Non-Hispanic White Beneficiaries621
Number of Black or African American Beneficiaries64
Number of Asian Pacific Islander Beneficiaries12
Number of Hispanic Beneficiaries39
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified25
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year605
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits156
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma10%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease73%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes72%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders4%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke9%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.9414

Source: data.cms.gov

Vikramjeet Kumar MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Hemoglobin A1C level 218 165 218 $13.32 $29.96 $13.0 231%
Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours 44 42 44 $143.8 $250.0 $105.44 237%
Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours 33 30 33 $42.68 $87.48 $29.75 294%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 38 19 38 $23.76 $50.0 $16.34 306%
New patient office or other outpatient visit, typically 30 minutes 11 11 11 $98.49 $212.36 $63.09 337%
New patient office or other outpatient visit, typically 45 minutes 110 110 110 $155.84 $274.82 $109.39 251%
New patient office or other outpatient visit, typically 60 minutes 21 21 21 $196.06 $349.71 $144.8 242%
Established patient office or other outpatient visit, typically 5 minutes 13 13 13 $18.95 $50.0 $13.44 372%
Established patient office or other outpatient visit, typically 15 minutes 93 72 93 $65.88 $143.16 $46.11 311%
Established patient office or other outpatient, visit typically 25 minutes 1200 545 1200 $101.09 $170.96 $67.4 254%
Established patient office or other outpatient, visit typically 40 minutes 22 22 22 $138.37 $225.91 $88.16 256%
Initial hospital inpatient care, typically 50 minutes per day 116 105 116 $133.07 $250.52 $100.13 250%
Initial hospital inpatient care, typically 70 minutes per day 51 48 51 $196.96 $299.61 $148.82 201%
Subsequent hospital inpatient care, typically 25 minutes per day 229 98 229 $70.13 $130.0 $52.86 246%
Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge 22 21 22 $155.3 $240.0 $104.52 230%
Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge 21 21 21 $219.84 $340.0 $162.2 210%
Administration of influenza virus vaccine 11 11 11 $24.25 $40.0 $23.76 168%
Injection, denosumab, 1 mg 960 12 16 $16.87 $30.0 $12.83 234%
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 11 11 11 $17.31 $25.0 $16.96 147%
Source: 2017 Provider CMS Charge Data