National Provider Identifier [NPI]: |
1902837362 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
VANDANA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D., PHD. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1999 MOWRY AVE |
Street Address 2 Of The Provider |
SUITE H |
City Of The Provider |
FREMONT |
Zip Code Of The Provider |
945381738 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
167706 |
Number Of Medicare Beneficiaries |
480 |
Total Submitted Charge Amount |
4899363.76 |
Total Medicare Allowed Amount |
1982663.46 |
Total Medicare Payment Amount |
1546393.41 |
Total Medicare Standardized Payment Amount |
1499601.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
161760 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
3817094.24 |
Total Drug Medicare AllowedAmount |
1555586.16 |
Total Drug Medicare PaymentAmount |
1217225.05 |
Total Drug Medicare Standardized Payment Amount |
1217225.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5946 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
1082269.52 |
Total Medical Medicare Allowed Amount |
427077.3 |
Total Medical Medicare Payment Amount |
329168.36 |
Total Medical Medicare Standardized Payment Amount |
282376.01 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
333 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
246 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
119 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0386 |