National Provider Identifier [NPI]: |
1144258401 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
TRILOK |
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 |
7255 OLD OAK BLVD |
Street Address 2 Of The Provider |
C208 |
City Of The Provider |
MIDDLEBURG HEIGHTS |
Zip Code Of The Provider |
441303329 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
8497.6 |
Number Of Medicare Beneficiaries |
1996 |
Total Submitted Charge Amount |
1099161.75 |
Total Medicare Allowed Amount |
488755.49 |
Total Medicare Payment Amount |
361718.55 |
Total Medicare Standardized Payment Amount |
377242.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4012.6 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
62626.75 |
Total Drug Medicare AllowedAmount |
33893.84 |
Total Drug Medicare PaymentAmount |
26403.78 |
Total Drug Medicare Standardized Payment Amount |
26403.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4485 |
Number Of Medicare Beneficiaries With Medical Services |
1996 |
Total Medical Submitted Charge Amount |
1036535 |
Total Medical Medicare Allowed Amount |
454861.65 |
Total Medical Medicare Payment Amount |
335314.77 |
Total Medical Medicare Standardized Payment Amount |
350838.76 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
798 |
Number Of Beneficiaries Age Greater 84 |
405 |
Number Of Female Beneficiaries |
998 |
Number Of Male Beneficiaries |
998 |
Number Of Non Hispanic White Beneficiaries |
1879 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6076 |