National Provider Identifier [NPI]: |
1760474530 |
Last Name Of The Provider |
SHARP |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 W MAPLE AVE |
Street Address 2 Of The Provider |
SUITE 205A |
City Of The Provider |
SPRINGDALE |
Zip Code Of The Provider |
727645335 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
1680 |
Number Of Medicare Beneficiaries |
179 |
Total Submitted Charge Amount |
450040 |
Total Medicare Allowed Amount |
293389.31 |
Total Medicare Payment Amount |
222825.21 |
Total Medicare Standardized Payment Amount |
227952.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
698 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
268230 |
Total Drug Medicare AllowedAmount |
214501.56 |
Total Drug Medicare PaymentAmount |
167919.74 |
Total Drug Medicare Standardized Payment Amount |
167919.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
982 |
Number Of Medicare Beneficiaries With Medical Services |
179 |
Total Medical Submitted Charge Amount |
181810 |
Total Medical Medicare Allowed Amount |
78887.75 |
Total Medical Medicare Payment Amount |
54905.47 |
Total Medical Medicare Standardized Payment Amount |
60032.89 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
59 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4295 |