National Provider Identifier [NPI]: |
1972711133 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
RAJIV |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2112 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 312 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176012644 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
21872 |
Number Of Medicare Beneficiaries |
990 |
Total Submitted Charge Amount |
812433 |
Total Medicare Allowed Amount |
325474.92 |
Total Medicare Payment Amount |
248092.26 |
Total Medicare Standardized Payment Amount |
256807.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
18865 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
88145 |
Total Drug Medicare AllowedAmount |
35096.26 |
Total Drug Medicare PaymentAmount |
26909.32 |
Total Drug Medicare Standardized Payment Amount |
26909.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3007 |
Number Of Medicare Beneficiaries With Medical Services |
990 |
Total Medical Submitted Charge Amount |
724288 |
Total Medical Medicare Allowed Amount |
290378.66 |
Total Medical Medicare Payment Amount |
221182.94 |
Total Medical Medicare Standardized Payment Amount |
229897.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
537 |
Number Of Non Hispanic White Beneficiaries |
860 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
795 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.549 |