National Provider Identifier [NPI]: |
1821041476 |
Last Name Of The Provider |
SHARPE |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
660 LANIER PARK DR STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305012075 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
7380 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
1556105.13 |
Total Medicare Allowed Amount |
475473.01 |
Total Medicare Payment Amount |
359945.68 |
Total Medicare Standardized Payment Amount |
379749.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
979 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
64329.5 |
Total Drug Medicare AllowedAmount |
27515.87 |
Total Drug Medicare PaymentAmount |
21504.67 |
Total Drug Medicare Standardized Payment Amount |
21504.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
6401 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
1491775.63 |
Total Medical Medicare Allowed Amount |
447957.14 |
Total Medical Medicare Payment Amount |
338441.01 |
Total Medical Medicare Standardized Payment Amount |
358244.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
566 |
Number Of Non Hispanic White Beneficiaries |
758 |
Number Of Black or African American Beneficiaries |
17 |
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 |
701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1495 |