| National Provider Identifier [NPI]: | 1831150630 |
| Last Name Of The Provider | RAMOS |
| First Name Of The Provider | FABIAN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 3RD AVE W |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | BRADENTON |
| Zip Code Of The Provider | 342058638 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Pain Management |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 49 |
| Number Of Services | 11493 |
| Number Of Medicare Beneficiaries | 1107 |
| Total Submitted Charge Amount | 1883106.46 |
| Total Medicare Allowed Amount | 1013860.26 |
| Total Medicare Payment Amount | 801297.86 |
| Total Medicare Standardized Payment Amount | 736775.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 4173 |
| Number Of Medicare Beneficiaries With Drug Services | 474 |
| Total Drug Submitted ChargeAmount | 16361 |
| Total Drug Medicare AllowedAmount | 6265.53 |
| Total Drug Medicare PaymentAmount | 4883.89 |
| Total Drug Medicare Standardized Payment Amount | 4883.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 44 |
| Number Of Medical Services | 7320 |
| Number Of Medicare Beneficiaries With Medical Services | 1107 |
| Total Medical Submitted Charge Amount | 1866745.46 |
| Total Medical Medicare Allowed Amount | 1007594.73 |
| Total Medical Medicare Payment Amount | 796413.97 |
| Total Medical Medicare Standardized Payment Amount | 731892.06 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 277 |
| Number Of Beneficiaries Age 65 to 74 | 388 |
| Number Of Beneficiaries Age 75 to 84 | 312 |
| Number Of Beneficiaries Age Greater 84 | 130 |
| Number Of Female Beneficiaries | 688 |
| Number Of Male Beneficiaries | 419 |
| Number Of Non Hispanic White Beneficiaries | 956 |
| Number Of Black or African American Beneficiaries | 77 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 850 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 257 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.461 |