National Provider Identifier [NPI]: |
1790748077 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
TARUN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1535 GULL RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
KALAMAZOO |
Zip Code Of The Provider |
490481650 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
8800 |
Number Of Medicare Beneficiaries |
1019 |
Total Submitted Charge Amount |
1477234 |
Total Medicare Allowed Amount |
408814.48 |
Total Medicare Payment Amount |
322188.07 |
Total Medicare Standardized Payment Amount |
328807.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
7039 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
300065 |
Total Drug Medicare AllowedAmount |
136929.37 |
Total Drug Medicare PaymentAmount |
107142.84 |
Total Drug Medicare Standardized Payment Amount |
107142.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
1761 |
Number Of Medicare Beneficiaries With Medical Services |
1019 |
Total Medical Submitted Charge Amount |
1177169 |
Total Medical Medicare Allowed Amount |
271885.11 |
Total Medical Medicare Payment Amount |
215045.23 |
Total Medical Medicare Standardized Payment Amount |
221664.62 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
885 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
744 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5083 |