National Provider Identifier [NPI]: |
1851331318 |
Last Name Of The Provider |
SHARMAN |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2601 CHERRY AVE |
Street Address 2 Of The Provider |
#213 |
City Of The Provider |
BREMERTON |
Zip Code Of The Provider |
983104203 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
6175 |
Number Of Medicare Beneficiaries |
1243 |
Total Submitted Charge Amount |
415907.34 |
Total Medicare Allowed Amount |
383110.75 |
Total Medicare Payment Amount |
289785.97 |
Total Medicare Standardized Payment Amount |
301855.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
129 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
5925.48 |
Total Drug Medicare AllowedAmount |
2949.8 |
Total Drug Medicare PaymentAmount |
2467.76 |
Total Drug Medicare Standardized Payment Amount |
2467.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6046 |
Number Of Medicare Beneficiaries With Medical Services |
1243 |
Total Medical Submitted Charge Amount |
409981.86 |
Total Medical Medicare Allowed Amount |
380160.95 |
Total Medical Medicare Payment Amount |
287318.21 |
Total Medical Medicare Standardized Payment Amount |
299387.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
396 |
Number Of Beneficiaries Age Greater 84 |
303 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
534 |
Number Of Non Hispanic White Beneficiaries |
1125 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
893 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
350 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7136 |