National Provider Identifier [NPI]: |
1265471155 |
Last Name Of The Provider |
SHARAF |
First Name Of The Provider |
RASHID |
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 |
5131 MEDICAL DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782294801 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
64268 |
Number Of Medicare Beneficiaries |
1325 |
Total Submitted Charge Amount |
7403269 |
Total Medicare Allowed Amount |
2684031.12 |
Total Medicare Payment Amount |
2065605.51 |
Total Medicare Standardized Payment Amount |
2260792.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
57916 |
Number Of Medicare Beneficiaries With Drug Services |
696 |
Total Drug Submitted ChargeAmount |
92958 |
Total Drug Medicare AllowedAmount |
31356.03 |
Total Drug Medicare PaymentAmount |
24451.86 |
Total Drug Medicare Standardized Payment Amount |
24451.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6352 |
Number Of Medicare Beneficiaries With Medical Services |
1324 |
Total Medical Submitted Charge Amount |
7310311 |
Total Medical Medicare Allowed Amount |
2652675.09 |
Total Medical Medicare Payment Amount |
2041153.65 |
Total Medical Medicare Standardized Payment Amount |
2236340.65 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
576 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
664 |
Number Of Male Beneficiaries |
661 |
Number Of Non Hispanic White Beneficiaries |
365 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
818 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
667 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
6.5379 |