National Provider Identifier [NPI]: |
1730155672 |
Last Name Of The Provider |
SHER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
616 N PALMETTO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347484417 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
27419 |
Number Of Medicare Beneficiaries |
2605 |
Total Submitted Charge Amount |
2454667.41 |
Total Medicare Allowed Amount |
907714.19 |
Total Medicare Payment Amount |
698967.16 |
Total Medicare Standardized Payment Amount |
701604.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
12576 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
408632.31 |
Total Drug Medicare AllowedAmount |
154366.56 |
Total Drug Medicare PaymentAmount |
119715.09 |
Total Drug Medicare Standardized Payment Amount |
119715.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
14843 |
Number Of Medicare Beneficiaries With Medical Services |
2605 |
Total Medical Submitted Charge Amount |
2046035.1 |
Total Medical Medicare Allowed Amount |
753347.63 |
Total Medical Medicare Payment Amount |
579252.07 |
Total Medical Medicare Standardized Payment Amount |
581889.58 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
1067 |
Number Of Beneficiaries Age 75 to 84 |
1182 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
2150 |
Number Of Non Hispanic White Beneficiaries |
2481 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2517 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2993 |