National Provider Identifier [NPI]: |
1073711453 |
Last Name Of The Provider |
SHAROBIEM |
First Name Of The Provider |
ANDRO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 CENTRAL AVE |
Street Address 2 Of The Provider |
STE 106 |
City Of The Provider |
RIVERSIDE |
Zip Code Of The Provider |
925062933 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
7953 |
Number Of Medicare Beneficiaries |
829 |
Total Submitted Charge Amount |
1685503 |
Total Medicare Allowed Amount |
925000.73 |
Total Medicare Payment Amount |
713555.2 |
Total Medicare Standardized Payment Amount |
696104.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
8096 |
Total Drug Medicare AllowedAmount |
2185.08 |
Total Drug Medicare PaymentAmount |
2098.07 |
Total Drug Medicare Standardized Payment Amount |
2098.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
7777 |
Number Of Medicare Beneficiaries With Medical Services |
829 |
Total Medical Submitted Charge Amount |
1677407 |
Total Medical Medicare Allowed Amount |
922815.65 |
Total Medical Medicare Payment Amount |
711457.13 |
Total Medical Medicare Standardized Payment Amount |
694006.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
470 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
525 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3321 |