National Provider Identifier [NPI]: |
1285603324 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
GIRISH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 HARTFORD TPKE |
Street Address 2 Of The Provider |
SUITE P |
City Of The Provider |
VERNON |
Zip Code Of The Provider |
060665037 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2341 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
359818 |
Total Medicare Allowed Amount |
204788.75 |
Total Medicare Payment Amount |
156594.74 |
Total Medicare Standardized Payment Amount |
146245 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
3165 |
Total Drug Medicare AllowedAmount |
1421.67 |
Total Drug Medicare PaymentAmount |
1385.41 |
Total Drug Medicare Standardized Payment Amount |
1385.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2250 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
356653 |
Total Medical Medicare Allowed Amount |
203367.08 |
Total Medical Medicare Payment Amount |
155209.33 |
Total Medical Medicare Standardized Payment Amount |
144859.59 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
466 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
298 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.826 |