National Provider Identifier [NPI]: |
1780685685 |
Last Name Of The Provider |
SHERMA |
First Name Of The Provider |
ARUN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 W WHITE MOUNTAIN BLVD |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
LAKESIDE |
Zip Code Of The Provider |
859297015 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
982 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
188289 |
Total Medicare Allowed Amount |
100734.54 |
Total Medicare Payment Amount |
65942.5 |
Total Medicare Standardized Payment Amount |
67006.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
11424 |
Total Drug Medicare AllowedAmount |
5947.2 |
Total Drug Medicare PaymentAmount |
4658.4 |
Total Drug Medicare Standardized Payment Amount |
4658.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
870 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
176865 |
Total Medical Medicare Allowed Amount |
94787.34 |
Total Medical Medicare Payment Amount |
61284.1 |
Total Medical Medicare Standardized Payment Amount |
62348.13 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
119 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0571 |