National Provider Identifier [NPI]: |
1578566832 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
JAGMOHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
43555 DALCOMA DR |
Street Address 2 Of The Provider |
STE 4 |
City Of The Provider |
CLINTON TOWNSHIP |
Zip Code Of The Provider |
480386310 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
7577 |
Number Of Medicare Beneficiaries |
630 |
Total Submitted Charge Amount |
907542.8 |
Total Medicare Allowed Amount |
440611.72 |
Total Medicare Payment Amount |
341240.28 |
Total Medicare Standardized Payment Amount |
331286.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2984 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
47282 |
Total Drug Medicare AllowedAmount |
24154.13 |
Total Drug Medicare PaymentAmount |
18853.77 |
Total Drug Medicare Standardized Payment Amount |
18853.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4593 |
Number Of Medicare Beneficiaries With Medical Services |
630 |
Total Medical Submitted Charge Amount |
860260.8 |
Total Medical Medicare Allowed Amount |
416457.59 |
Total Medical Medicare Payment Amount |
322386.51 |
Total Medical Medicare Standardized Payment Amount |
312433.22 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
401 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
580 |
Number Of Black or African American Beneficiaries |
25 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.4018 |