National Provider Identifier [NPI]: |
1518953090 |
Last Name Of The Provider |
RAMOS |
First Name Of The Provider |
CARLOS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 DOCTORS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324054517 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
24671 |
Number Of Medicare Beneficiaries |
1434 |
Total Submitted Charge Amount |
2156761.78 |
Total Medicare Allowed Amount |
791156.29 |
Total Medicare Payment Amount |
600236.28 |
Total Medicare Standardized Payment Amount |
608041.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
16092 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
509401.69 |
Total Drug Medicare AllowedAmount |
214442.42 |
Total Drug Medicare PaymentAmount |
164214.71 |
Total Drug Medicare Standardized Payment Amount |
164214.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
8579 |
Number Of Medicare Beneficiaries With Medical Services |
1433 |
Total Medical Submitted Charge Amount |
1647360.09 |
Total Medical Medicare Allowed Amount |
576713.87 |
Total Medical Medicare Payment Amount |
436021.57 |
Total Medical Medicare Standardized Payment Amount |
443826.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
649 |
Number Of Beneficiaries Age 75 to 84 |
477 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
1043 |
Number Of Non Hispanic White Beneficiaries |
1272 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
192 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3468 |