National Provider Identifier [NPI]: |
1831169796 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
DINESH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 S 11TH ST |
Street Address 2 Of The Provider |
SUITE 3390 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191074824 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5460 |
Number Of Medicare Beneficiaries |
1730 |
Total Submitted Charge Amount |
1412561.57 |
Total Medicare Allowed Amount |
177514.54 |
Total Medicare Payment Amount |
137362.85 |
Total Medicare Standardized Payment Amount |
133773.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3088 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
12174.82 |
Total Drug Medicare AllowedAmount |
783.1 |
Total Drug Medicare PaymentAmount |
613.91 |
Total Drug Medicare Standardized Payment Amount |
613.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2372 |
Number Of Medicare Beneficiaries With Medical Services |
1730 |
Total Medical Submitted Charge Amount |
1400386.75 |
Total Medical Medicare Allowed Amount |
176731.44 |
Total Medical Medicare Payment Amount |
136748.94 |
Total Medical Medicare Standardized Payment Amount |
133159.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
421 |
Number Of Beneficiaries Age 65 to 74 |
646 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
941 |
Number Of Male Beneficiaries |
789 |
Number Of Non Hispanic White Beneficiaries |
1208 |
Number Of Black or African American Beneficiaries |
353 |
Number Of AsianPacific Islander Beneficiaries |
92 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
522 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.0176 |