| National Provider Identifier [NPI]: | 1386646438 |
| Last Name Of The Provider | RAMOS |
| First Name Of The Provider | JOSE |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1350 S HICKORY ST |
| Street Address 2 Of The Provider | HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY |
| City Of The Provider | MELBOURNE |
| Zip Code Of The Provider | 329013224 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 6329 |
| Number Of Medicare Beneficiaries | 3400 |
| Total Submitted Charge Amount | 632320.5 |
| Total Medicare Allowed Amount | 218737.06 |
| Total Medicare Payment Amount | 165662.87 |
| Total Medicare Standardized Payment Amount | 168652.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 1111 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 2231 |
| Total Drug Medicare AllowedAmount | 715.84 |
| Total Drug Medicare PaymentAmount | 561.22 |
| Total Drug Medicare Standardized Payment Amount | 561.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 173 |
| Number Of Medical Services | 5218 |
| Number Of Medicare Beneficiaries With Medical Services | 3400 |
| Total Medical Submitted Charge Amount | 630089.5 |
| Total Medical Medicare Allowed Amount | 218021.22 |
| Total Medical Medicare Payment Amount | 165101.65 |
| Total Medical Medicare Standardized Payment Amount | 168091.63 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 555 |
| Number Of Beneficiaries Age 65 to 74 | 977 |
| Number Of Beneficiaries Age 75 to 84 | 1103 |
| Number Of Beneficiaries Age Greater 84 | 765 |
| Number Of Female Beneficiaries | 1927 |
| Number Of Male Beneficiaries | 1473 |
| Number Of Non Hispanic White Beneficiaries | 2934 |
| Number Of Black or African American Beneficiaries | 250 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 146 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2618 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 782 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.9942 |