National Provider Identifier [NPI]: |
1407958440 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
VISHNU |
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 |
3257 DAVISON ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAPEER |
Zip Code Of The Provider |
484462909 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
5954 |
Number Of Medicare Beneficiaries |
1709 |
Total Submitted Charge Amount |
316881 |
Total Medicare Allowed Amount |
232280.66 |
Total Medicare Payment Amount |
171792.95 |
Total Medicare Standardized Payment Amount |
178837.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
3152 |
Total Drug Medicare AllowedAmount |
1796.93 |
Total Drug Medicare PaymentAmount |
1760.57 |
Total Drug Medicare Standardized Payment Amount |
1760.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
5810 |
Number Of Medicare Beneficiaries With Medical Services |
1709 |
Total Medical Submitted Charge Amount |
313729 |
Total Medical Medicare Allowed Amount |
230483.73 |
Total Medical Medicare Payment Amount |
170032.38 |
Total Medical Medicare Standardized Payment Amount |
177077.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
346 |
Number Of Beneficiaries Age 65 to 74 |
518 |
Number Of Beneficiaries Age 75 to 84 |
549 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
953 |
Number Of Male Beneficiaries |
756 |
Number Of Non Hispanic White Beneficiaries |
1641 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1291 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
418 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9895 |