National Provider Identifier [NPI]: |
1891924254 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
TUSHAR |
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 |
14134 NEPHRON LANE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUDSON |
Zip Code Of The Provider |
34667 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
7889 |
Number Of Medicare Beneficiaries |
796 |
Total Submitted Charge Amount |
1252117.14 |
Total Medicare Allowed Amount |
483871.39 |
Total Medicare Payment Amount |
376616.74 |
Total Medicare Standardized Payment Amount |
386145.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4052 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
2663.76 |
Total Drug Medicare AllowedAmount |
737.8 |
Total Drug Medicare PaymentAmount |
578.41 |
Total Drug Medicare Standardized Payment Amount |
578.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3837 |
Number Of Medicare Beneficiaries With Medical Services |
796 |
Total Medical Submitted Charge Amount |
1249453.38 |
Total Medical Medicare Allowed Amount |
483133.59 |
Total Medical Medicare Payment Amount |
376038.33 |
Total Medical Medicare Standardized Payment Amount |
385567.43 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
262 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
4.3649 |