National Provider Identifier [NPI]: |
1356396303 |
Last Name Of The Provider |
SHERIFF |
First Name Of The Provider |
USMAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
597 SESAME SQUARE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
78550 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5096 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
2309974 |
Total Medicare Allowed Amount |
490267.66 |
Total Medicare Payment Amount |
372803.68 |
Total Medicare Standardized Payment Amount |
394613.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
433 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
51200 |
Total Drug Medicare AllowedAmount |
22859.4 |
Total Drug Medicare PaymentAmount |
17780.03 |
Total Drug Medicare Standardized Payment Amount |
17780.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4663 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
2258774 |
Total Medical Medicare Allowed Amount |
467408.26 |
Total Medical Medicare Payment Amount |
355023.65 |
Total Medical Medicare Standardized Payment Amount |
376833.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
362 |
Number Of Non Hispanic White Beneficiaries |
297 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
461 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8302 |