National Provider Identifier [NPI]: |
1245526482 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
SUNNY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1555 BARRINGTON RD |
Street Address 2 Of The Provider |
SUITE 2300A |
City Of The Provider |
HOFFMAN ESTATES |
Zip Code Of The Provider |
601691019 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
880 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
118172 |
Total Medicare Allowed Amount |
60545.42 |
Total Medicare Payment Amount |
48511.31 |
Total Medicare Standardized Payment Amount |
45634.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
5345 |
Total Drug Medicare AllowedAmount |
2776.02 |
Total Drug Medicare PaymentAmount |
2543.25 |
Total Drug Medicare Standardized Payment Amount |
2543.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
750 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
112827 |
Total Medical Medicare Allowed Amount |
57769.4 |
Total Medical Medicare Payment Amount |
45968.06 |
Total Medical Medicare Standardized Payment Amount |
43091.6 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
183 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6014 |