National Provider Identifier [NPI]: |
1285734947 |
Last Name Of The Provider |
YERRAMSETTI |
First Name Of The Provider |
RAMA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
902 FROSTWOOD DR |
Street Address 2 Of The Provider |
SUITE 284 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242403 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
9344 |
Number Of Medicare Beneficiaries |
209 |
Total Submitted Charge Amount |
411683.11 |
Total Medicare Allowed Amount |
121679.23 |
Total Medicare Payment Amount |
91407.14 |
Total Medicare Standardized Payment Amount |
92264.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
6102 |
Total Drug Medicare AllowedAmount |
2487.13 |
Total Drug Medicare PaymentAmount |
1908.62 |
Total Drug Medicare Standardized Payment Amount |
1908.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
9212 |
Number Of Medicare Beneficiaries With Medical Services |
209 |
Total Medical Submitted Charge Amount |
405581.11 |
Total Medical Medicare Allowed Amount |
119192.1 |
Total Medical Medicare Payment Amount |
89498.52 |
Total Medical Medicare Standardized Payment Amount |
90355.49 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
145 |
Number Of Male Beneficiaries |
64 |
Number Of Non Hispanic White Beneficiaries |
155 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
43 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4363 |