National Provider Identifier [NPI]: |
1790719367 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
ALOK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6365 E TANQUE VERDE RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857153830 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
4703 |
Number Of Medicare Beneficiaries |
265 |
Total Submitted Charge Amount |
319289 |
Total Medicare Allowed Amount |
152835.98 |
Total Medicare Payment Amount |
125705.55 |
Total Medicare Standardized Payment Amount |
129122.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
2939 |
Total Drug Medicare AllowedAmount |
1317.98 |
Total Drug Medicare PaymentAmount |
1251.47 |
Total Drug Medicare Standardized Payment Amount |
1251.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
4620 |
Number Of Medicare Beneficiaries With Medical Services |
265 |
Total Medical Submitted Charge Amount |
316350 |
Total Medical Medicare Allowed Amount |
151518 |
Total Medical Medicare Payment Amount |
124454.08 |
Total Medical Medicare Standardized Payment Amount |
127871.33 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
139 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
239 |
Number Of Black or African American Beneficiaries |
11 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1604 |