National Provider Identifier [NPI]: |
1538163415 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
SUKH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 E 2ND ST |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
ERIE |
Zip Code Of The Provider |
165071537 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1539 |
Number Of Medicare Beneficiaries |
1078 |
Total Submitted Charge Amount |
238568 |
Total Medicare Allowed Amount |
75198.46 |
Total Medicare Payment Amount |
55891.22 |
Total Medicare Standardized Payment Amount |
58093.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1495 |
Total Drug Medicare AllowedAmount |
1216.86 |
Total Drug Medicare PaymentAmount |
954.01 |
Total Drug Medicare Standardized Payment Amount |
954.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1516 |
Number Of Medicare Beneficiaries With Medical Services |
1078 |
Total Medical Submitted Charge Amount |
237073 |
Total Medical Medicare Allowed Amount |
73981.6 |
Total Medical Medicare Payment Amount |
54937.21 |
Total Medical Medicare Standardized Payment Amount |
57139.29 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
543 |
Number Of Male Beneficiaries |
535 |
Number Of Non Hispanic White Beneficiaries |
1001 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
807 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7618 |