| National Provider Identifier [NPI]: | 1245225192 |
| Last Name Of The Provider | KAPOOR |
| First Name Of The Provider | GAURAV |
| 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 | 375 N WALL ST |
| Street Address 2 Of The Provider | STE 310 |
| City Of The Provider | KANKAKEE |
| Zip Code Of The Provider | 609013483 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 100 |
| Number Of Services | 7936 |
| Number Of Medicare Beneficiaries | 2247 |
| Total Submitted Charge Amount | 2708467 |
| Total Medicare Allowed Amount | 783028.94 |
| Total Medicare Payment Amount | 593696.8 |
| Total Medicare Standardized Payment Amount | 618274.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1108 |
| Number Of Medicare Beneficiaries With Drug Services | 279 |
| Total Drug Submitted ChargeAmount | 71448 |
| Total Drug Medicare AllowedAmount | 59572.4 |
| Total Drug Medicare PaymentAmount | 46055.14 |
| Total Drug Medicare Standardized Payment Amount | 46055.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 97 |
| Number Of Medical Services | 6828 |
| Number Of Medicare Beneficiaries With Medical Services | 2246 |
| Total Medical Submitted Charge Amount | 2637019 |
| Total Medical Medicare Allowed Amount | 723456.54 |
| Total Medical Medicare Payment Amount | 547641.66 |
| Total Medical Medicare Standardized Payment Amount | 572219.53 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 375 |
| Number Of Beneficiaries Age 65 to 74 | 795 |
| Number Of Beneficiaries Age 75 to 84 | 683 |
| Number Of Beneficiaries Age Greater 84 | 394 |
| Number Of Female Beneficiaries | 1104 |
| Number Of Male Beneficiaries | 1143 |
| Number Of Non Hispanic White Beneficiaries | 1932 |
| Number Of Black or African American Beneficiaries | 234 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1685 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 562 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8321 |