National Provider Identifier [NPI]: |
1750464004 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
VISHAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6400 MANATEE AVE W |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342092378 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5476 |
Number Of Medicare Beneficiaries |
902 |
Total Submitted Charge Amount |
435035 |
Total Medicare Allowed Amount |
399882.89 |
Total Medicare Payment Amount |
294948.2 |
Total Medicare Standardized Payment Amount |
297419.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
150 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
4310 |
Total Drug Medicare AllowedAmount |
2138.62 |
Total Drug Medicare PaymentAmount |
2092 |
Total Drug Medicare Standardized Payment Amount |
2092 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5326 |
Number Of Medicare Beneficiaries With Medical Services |
902 |
Total Medical Submitted Charge Amount |
430725 |
Total Medical Medicare Allowed Amount |
397744.27 |
Total Medical Medicare Payment Amount |
292856.2 |
Total Medical Medicare Standardized Payment Amount |
295327.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
404 |
Number Of Non Hispanic White Beneficiaries |
799 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5058 |