National Provider Identifier [NPI]: |
1770513335 |
Last Name Of The Provider |
SHERMAN |
First Name Of The Provider |
KRISTEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 VAN NESS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941093015 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1253 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
277508 |
Total Medicare Allowed Amount |
119270.03 |
Total Medicare Payment Amount |
90566.53 |
Total Medicare Standardized Payment Amount |
77418.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
146 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
22010 |
Total Drug Medicare AllowedAmount |
9108.02 |
Total Drug Medicare PaymentAmount |
8919.61 |
Total Drug Medicare Standardized Payment Amount |
8919.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1107 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
255498 |
Total Medical Medicare Allowed Amount |
110162.01 |
Total Medical Medicare Payment Amount |
81646.92 |
Total Medical Medicare Standardized Payment Amount |
68498.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9069 |