National Provider Identifier [NPI]: |
1114975562 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
KONARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
365 LENNON LN |
Street Address 2 Of The Provider |
200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945985910 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
24532 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
441322.21 |
Total Medicare Allowed Amount |
263396.41 |
Total Medicare Payment Amount |
206179.31 |
Total Medicare Standardized Payment Amount |
188572.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
22485 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
83508.5 |
Total Drug Medicare AllowedAmount |
16860.44 |
Total Drug Medicare PaymentAmount |
13221.35 |
Total Drug Medicare Standardized Payment Amount |
13221.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
2047 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
357813.71 |
Total Medical Medicare Allowed Amount |
246535.97 |
Total Medical Medicare Payment Amount |
192957.96 |
Total Medical Medicare Standardized Payment Amount |
175350.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
482 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
70 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.8422 |