National Provider Identifier [NPI]: |
1396702700 |
Last Name Of The Provider |
SHERLING |
First Name Of The Provider |
DAWN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
136 JUPITER LAKES BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334587180 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2207 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
321790.02 |
Total Medicare Allowed Amount |
170048.84 |
Total Medicare Payment Amount |
129368.26 |
Total Medicare Standardized Payment Amount |
124633.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
5529 |
Total Drug Medicare AllowedAmount |
4033.93 |
Total Drug Medicare PaymentAmount |
3948.44 |
Total Drug Medicare Standardized Payment Amount |
3948.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2083 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
316261.02 |
Total Medical Medicare Allowed Amount |
166014.91 |
Total Medical Medicare Payment Amount |
125419.82 |
Total Medical Medicare Standardized Payment Amount |
120684.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
541 |
Number Of Black or African American Beneficiaries |
|
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8966 |