National Provider Identifier [NPI]: |
1750382669 |
Last Name Of The Provider |
SHARPE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7016 NORMANDY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322056206 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
5570 |
Number Of Medicare Beneficiaries |
942 |
Total Submitted Charge Amount |
796038.37 |
Total Medicare Allowed Amount |
436066.59 |
Total Medicare Payment Amount |
322495.42 |
Total Medicare Standardized Payment Amount |
341066.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
14225.13 |
Total Drug Medicare AllowedAmount |
5393.99 |
Total Drug Medicare PaymentAmount |
5257.97 |
Total Drug Medicare Standardized Payment Amount |
5257.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5392 |
Number Of Medicare Beneficiaries With Medical Services |
942 |
Total Medical Submitted Charge Amount |
781813.24 |
Total Medical Medicare Allowed Amount |
430672.6 |
Total Medical Medicare Payment Amount |
317237.45 |
Total Medical Medicare Standardized Payment Amount |
335808.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
320 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
179 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
385 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9115 |