National Provider Identifier [NPI]: |
1679653323 |
Last Name Of The Provider |
CIARAMITA |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
625 S NEW BALLAS RD |
Street Address 2 Of The Provider |
SUITE 2015 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631418253 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4680 |
Number Of Medicare Beneficiaries |
2568 |
Total Submitted Charge Amount |
539090 |
Total Medicare Allowed Amount |
222477.99 |
Total Medicare Payment Amount |
163199.94 |
Total Medicare Standardized Payment Amount |
165791.77 |
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 |
34 |
Number Of Medical Services |
4680 |
Number Of Medicare Beneficiaries With Medical Services |
2568 |
Total Medical Submitted Charge Amount |
539090 |
Total Medical Medicare Allowed Amount |
222477.99 |
Total Medical Medicare Payment Amount |
163199.94 |
Total Medical Medicare Standardized Payment Amount |
165791.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
354 |
Number Of Beneficiaries Age 65 to 74 |
941 |
Number Of Beneficiaries Age 75 to 84 |
854 |
Number Of Beneficiaries Age Greater 84 |
419 |
Number Of Female Beneficiaries |
1415 |
Number Of Male Beneficiaries |
1153 |
Number Of Non Hispanic White Beneficiaries |
2327 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7268 |