National Provider Identifier [NPI]: |
1265606552 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
SANJAY |
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 |
660 W BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
912041008 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4942 |
Number Of Medicare Beneficiaries |
1409 |
Total Submitted Charge Amount |
817632.6 |
Total Medicare Allowed Amount |
414128.04 |
Total Medicare Payment Amount |
317600.09 |
Total Medicare Standardized Payment Amount |
298219.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
25643.6 |
Total Drug Medicare AllowedAmount |
6591.18 |
Total Drug Medicare PaymentAmount |
5172.17 |
Total Drug Medicare Standardized Payment Amount |
5172.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4816 |
Number Of Medicare Beneficiaries With Medical Services |
1409 |
Total Medical Submitted Charge Amount |
791989 |
Total Medical Medicare Allowed Amount |
407536.86 |
Total Medical Medicare Payment Amount |
312427.92 |
Total Medical Medicare Standardized Payment Amount |
293047.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
342 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
686 |
Number Of Non Hispanic White Beneficiaries |
921 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
109 |
Number Of Hispanic Beneficiaries |
241 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
104 |
Number Of Beneficiaries With Medicare Only Entitlement |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1174 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3037 |