National Provider Identifier [NPI]: |
1376604272 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44 ALIANT PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALEXANDER CITY |
Zip Code Of The Provider |
350103426 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
5493 |
Number Of Medicare Beneficiaries |
804 |
Total Submitted Charge Amount |
392345 |
Total Medicare Allowed Amount |
335484.31 |
Total Medicare Payment Amount |
244395.88 |
Total Medicare Standardized Payment Amount |
252614.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1105 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
5737 |
Total Drug Medicare AllowedAmount |
2176.18 |
Total Drug Medicare PaymentAmount |
1716.09 |
Total Drug Medicare Standardized Payment Amount |
1716.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4388 |
Number Of Medicare Beneficiaries With Medical Services |
804 |
Total Medical Submitted Charge Amount |
386608 |
Total Medical Medicare Allowed Amount |
333308.13 |
Total Medical Medicare Payment Amount |
242679.79 |
Total Medical Medicare Standardized Payment Amount |
250898.38 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
592 |
Number Of Black or African American Beneficiaries |
192 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3662 |