National Provider Identifier [NPI]: |
1740403708 |
Last Name Of The Provider |
SHARP |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1820 PRESTON PARK BLVD |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750933656 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
229 |
Number Of Services |
3164 |
Number Of Medicare Beneficiaries |
2217 |
Total Submitted Charge Amount |
572295.33 |
Total Medicare Allowed Amount |
120143.15 |
Total Medicare Payment Amount |
91314.86 |
Total Medicare Standardized Payment Amount |
96173.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
229 |
Number Of Medical Services |
3164 |
Number Of Medicare Beneficiaries With Medical Services |
2217 |
Total Medical Submitted Charge Amount |
572295.33 |
Total Medical Medicare Allowed Amount |
120143.15 |
Total Medical Medicare Payment Amount |
91314.86 |
Total Medical Medicare Standardized Payment Amount |
96173.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
295 |
Number Of Beneficiaries Age 65 to 74 |
848 |
Number Of Beneficiaries Age 75 to 84 |
722 |
Number Of Beneficiaries Age Greater 84 |
352 |
Number Of Female Beneficiaries |
1260 |
Number Of Male Beneficiaries |
957 |
Number Of Non Hispanic White Beneficiaries |
1873 |
Number Of Black or African American Beneficiaries |
151 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
108 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
431 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.054 |