National Provider Identifier [NPI]: |
1336302868 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
VANI |
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 |
12680 OLIVE BLVD |
Street Address 2 Of The Provider |
STE. 100 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631416322 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
785 |
Number Of Medicare Beneficiaries |
185 |
Total Submitted Charge Amount |
92718 |
Total Medicare Allowed Amount |
58396.11 |
Total Medicare Payment Amount |
44835.9 |
Total Medicare Standardized Payment Amount |
45852.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
4682 |
Total Drug Medicare AllowedAmount |
3001.46 |
Total Drug Medicare PaymentAmount |
2933.41 |
Total Drug Medicare Standardized Payment Amount |
2933.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
707 |
Number Of Medicare Beneficiaries With Medical Services |
185 |
Total Medical Submitted Charge Amount |
88036 |
Total Medical Medicare Allowed Amount |
55394.65 |
Total Medical Medicare Payment Amount |
41902.49 |
Total Medical Medicare Standardized Payment Amount |
42919.31 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
142 |
Number Of Black or African American Beneficiaries |
|
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 |
151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1802 |