Medicare Facts for Dr. Pravin V. Sharma, MD


National Provider Identifier [NPI]: 1134224611
Last Name Of The Provider SHARMA
First Name Of The Provider PRAVIN
Middle Initial Of The Provider V
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1240 E CHAPMAN AVE
Street Address 2 Of The Provider
City Of The Provider ORANGE
Zip Code Of The Provider 928662217
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 4125
Number Of Medicare Beneficiaries 387
Total Submitted Charge Amount 480335
Total Medicare Allowed Amount 309510.5
Total Medicare Payment Amount 232368.84
Total Medicare Standardized Payment Amount 204941.11
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 231
Number Of Medicare Beneficiaries With Drug Services 188
Total Drug Submitted ChargeAmount 9790
Total Drug Medicare AllowedAmount 4378.04
Total Drug Medicare PaymentAmount 4266.85
Total Drug Medicare Standardized Payment Amount 4266.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 44
Number Of Medical Services 3894
Number Of Medicare Beneficiaries With Medical Services 387
Total Medical Submitted Charge Amount 470545
Total Medical Medicare Allowed Amount 305132.46
Total Medical Medicare Payment Amount 228101.99
Total Medical Medicare Standardized Payment Amount 200674.26
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 181
Number Of Beneficiaries Age 75 to 84 139
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 198
Number Of Male Beneficiaries 189
Number Of Non Hispanic White Beneficiaries 286
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 43
Number Of Hispanic Beneficiaries 38
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 352
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 4
Percent Of With Cancer 19
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 11
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0488

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