National Provider Identifier [NPI]: |
1427051556 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
GYANENDRA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.B.B.S., M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1120 15TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309120004 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
2696 |
Number Of Medicare Beneficiaries |
1466 |
Total Submitted Charge Amount |
567955 |
Total Medicare Allowed Amount |
135880.18 |
Total Medicare Payment Amount |
103549.91 |
Total Medicare Standardized Payment Amount |
107370.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2696 |
Number Of Medicare Beneficiaries With Medical Services |
1466 |
Total Medical Submitted Charge Amount |
567955 |
Total Medical Medicare Allowed Amount |
135880.18 |
Total Medical Medicare Payment Amount |
103549.91 |
Total Medical Medicare Standardized Payment Amount |
107370.88 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
381 |
Number Of Beneficiaries Age 65 to 74 |
589 |
Number Of Beneficiaries Age 75 to 84 |
365 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
763 |
Number Of Male Beneficiaries |
703 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
570 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
986 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
480 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1038 |