National Provider Identifier [NPI]: |
1255369526 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
ASHISH |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6901 INTERNATIONAL CENTER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339127125 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
12991 |
Number Of Medicare Beneficiaries |
1809 |
Total Submitted Charge Amount |
4019559.13 |
Total Medicare Allowed Amount |
2297425.31 |
Total Medicare Payment Amount |
1748899.27 |
Total Medicare Standardized Payment Amount |
1712850.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1872 |
Number Of Medicare Beneficiaries With Drug Services |
214 |
Total Drug Submitted ChargeAmount |
1822600 |
Total Drug Medicare AllowedAmount |
1171807.93 |
Total Drug Medicare PaymentAmount |
912320.6 |
Total Drug Medicare Standardized Payment Amount |
912320.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
11119 |
Number Of Medicare Beneficiaries With Medical Services |
1809 |
Total Medical Submitted Charge Amount |
2196959.13 |
Total Medical Medicare Allowed Amount |
1125617.38 |
Total Medical Medicare Payment Amount |
836578.67 |
Total Medical Medicare Standardized Payment Amount |
800529.85 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
643 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
446 |
Number Of Female Beneficiaries |
970 |
Number Of Male Beneficiaries |
839 |
Number Of Non Hispanic White Beneficiaries |
1670 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1694 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3579 |