National Provider Identifier [NPI]: |
1275621286 |
Last Name Of The Provider |
SHARF |
First Name Of The Provider |
ROGER |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3130 ELLIS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLINGHAM |
Zip Code Of The Provider |
982251904 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
7947.5 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
468534.94 |
Total Medicare Allowed Amount |
254856.16 |
Total Medicare Payment Amount |
186612.24 |
Total Medicare Standardized Payment Amount |
190547.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
2232.5 |
Number Of Medicare Beneficiaries With Drug Services |
203 |
Total Drug Submitted ChargeAmount |
44883.94 |
Total Drug Medicare AllowedAmount |
30577.63 |
Total Drug Medicare PaymentAmount |
24717.62 |
Total Drug Medicare Standardized Payment Amount |
24717.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
5715 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
423651 |
Total Medical Medicare Allowed Amount |
224278.53 |
Total Medical Medicare Payment Amount |
161894.62 |
Total Medical Medicare Standardized Payment Amount |
165829.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
25 |
Percent Of With Hypertension |
33 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8795 |