National Provider Identifier [NPI]: |
1033105242 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
MANOJ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4884 BERL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAGINAW |
Zip Code Of The Provider |
486042802 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6279 |
Number Of Medicare Beneficiaries |
2042 |
Total Submitted Charge Amount |
1043288 |
Total Medicare Allowed Amount |
490205.76 |
Total Medicare Payment Amount |
370349.76 |
Total Medicare Standardized Payment Amount |
386174.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
756 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
97558 |
Total Drug Medicare AllowedAmount |
32854.35 |
Total Drug Medicare PaymentAmount |
25656.69 |
Total Drug Medicare Standardized Payment Amount |
25656.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5523 |
Number Of Medicare Beneficiaries With Medical Services |
2041 |
Total Medical Submitted Charge Amount |
945730 |
Total Medical Medicare Allowed Amount |
457351.41 |
Total Medical Medicare Payment Amount |
344693.07 |
Total Medical Medicare Standardized Payment Amount |
360518.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
724 |
Number Of Beneficiaries Age 75 to 84 |
638 |
Number Of Beneficiaries Age Greater 84 |
356 |
Number Of Female Beneficiaries |
1032 |
Number Of Male Beneficiaries |
1010 |
Number Of Non Hispanic White Beneficiaries |
1623 |
Number Of Black or African American Beneficiaries |
308 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
406 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6905 |