National Provider Identifier [NPI]: |
1114963626 |
Last Name Of The Provider |
JAVED |
First Name Of The Provider |
SHEERIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
537 STANTON CHRISTIANA RD |
Street Address 2 Of The Provider |
SUITE 212 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132146 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
27464 |
Number Of Medicare Beneficiaries |
309 |
Total Submitted Charge Amount |
1648898.24 |
Total Medicare Allowed Amount |
997609.46 |
Total Medicare Payment Amount |
761555.85 |
Total Medicare Standardized Payment Amount |
762224.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
25977 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
1297217.24 |
Total Drug Medicare AllowedAmount |
844692.57 |
Total Drug Medicare PaymentAmount |
650234.21 |
Total Drug Medicare Standardized Payment Amount |
650234.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
1487 |
Number Of Medicare Beneficiaries With Medical Services |
309 |
Total Medical Submitted Charge Amount |
351681 |
Total Medical Medicare Allowed Amount |
152916.89 |
Total Medical Medicare Payment Amount |
111321.64 |
Total Medical Medicare Standardized Payment Amount |
111990.62 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
239 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3428 |