National Provider Identifier [NPI]: |
1760476089 |
Last Name Of The Provider |
SHARIFA |
First Name Of The Provider |
ROKSHANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
875 MILITARY TRL |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334585700 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
2196 |
Number Of Medicare Beneficiaries |
514 |
Total Submitted Charge Amount |
206054.01 |
Total Medicare Allowed Amount |
136877.98 |
Total Medicare Payment Amount |
102965.52 |
Total Medicare Standardized Payment Amount |
98932.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
860 |
Total Drug Medicare AllowedAmount |
466.38 |
Total Drug Medicare PaymentAmount |
453.39 |
Total Drug Medicare Standardized Payment Amount |
453.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
2164 |
Number Of Medicare Beneficiaries With Medical Services |
514 |
Total Medical Submitted Charge Amount |
205194.01 |
Total Medical Medicare Allowed Amount |
136411.6 |
Total Medical Medicare Payment Amount |
102512.13 |
Total Medical Medicare Standardized Payment Amount |
98478.85 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
479 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4936 |