National Provider Identifier [NPI]: |
1609843820 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
RAJESH |
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 |
2709 FRANKLIN BLVD |
Street Address 2 Of The Provider |
SUITE 2E |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441132993 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
2770 |
Number Of Medicare Beneficiaries |
594 |
Total Submitted Charge Amount |
308803.5 |
Total Medicare Allowed Amount |
173617.74 |
Total Medicare Payment Amount |
129232.01 |
Total Medicare Standardized Payment Amount |
133042.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
281 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
2801 |
Total Drug Medicare AllowedAmount |
1486 |
Total Drug Medicare PaymentAmount |
1435.02 |
Total Drug Medicare Standardized Payment Amount |
1435.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2489 |
Number Of Medicare Beneficiaries With Medical Services |
594 |
Total Medical Submitted Charge Amount |
306002.5 |
Total Medical Medicare Allowed Amount |
172131.74 |
Total Medical Medicare Payment Amount |
127796.99 |
Total Medical Medicare Standardized Payment Amount |
131607.64 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
328 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
26 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7486 |