National Provider Identifier [NPI]: |
1588653406 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
JIVESH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10425 N CENTRAL EXPY |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752312208 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
177126 |
Number Of Medicare Beneficiaries |
575 |
Total Submitted Charge Amount |
9480114.18 |
Total Medicare Allowed Amount |
3064234.59 |
Total Medicare Payment Amount |
2336038.14 |
Total Medicare Standardized Payment Amount |
2348712.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
164334 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
7833906.18 |
Total Drug Medicare AllowedAmount |
2512964.54 |
Total Drug Medicare PaymentAmount |
1904544.97 |
Total Drug Medicare Standardized Payment Amount |
1904544.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
12792 |
Number Of Medicare Beneficiaries With Medical Services |
575 |
Total Medical Submitted Charge Amount |
1646208 |
Total Medical Medicare Allowed Amount |
551270.05 |
Total Medical Medicare Payment Amount |
431493.17 |
Total Medical Medicare Standardized Payment Amount |
444167.29 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9414 |