National Provider Identifier [NPI]: |
1467548859 |
Last Name Of The Provider |
SHARMA |
First Name Of The Provider |
VINEET |
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 |
2105 FOREST AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
95128 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
5640 |
Number Of Medicare Beneficiaries |
2854 |
Total Submitted Charge Amount |
727649.5 |
Total Medicare Allowed Amount |
178328.81 |
Total Medicare Payment Amount |
132277.34 |
Total Medicare Standardized Payment Amount |
119320.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
5640 |
Number Of Medicare Beneficiaries With Medical Services |
2854 |
Total Medical Submitted Charge Amount |
727649.5 |
Total Medical Medicare Allowed Amount |
178328.81 |
Total Medical Medicare Payment Amount |
132277.34 |
Total Medical Medicare Standardized Payment Amount |
119320.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
315 |
Number Of Beneficiaries Age 65 to 74 |
831 |
Number Of Beneficiaries Age 75 to 84 |
939 |
Number Of Beneficiaries Age Greater 84 |
769 |
Number Of Female Beneficiaries |
1751 |
Number Of Male Beneficiaries |
1103 |
Number Of Non Hispanic White Beneficiaries |
1436 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
695 |
Number Of Hispanic Beneficiaries |
559 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1542 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1312 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8776 |