National Provider Identifier [NPI]: |
1902856321 |
Last Name Of The Provider |
PEREZ-MARRERO |
First Name Of The Provider |
RAMON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5305 GULF DR |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
346523960 |
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 |
105 |
Number Of Services |
14218 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
738338.9 |
Total Medicare Allowed Amount |
368365.67 |
Total Medicare Payment Amount |
281430.2 |
Total Medicare Standardized Payment Amount |
283878.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
8208 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
83784.9 |
Total Drug Medicare AllowedAmount |
45837.51 |
Total Drug Medicare PaymentAmount |
35783.65 |
Total Drug Medicare Standardized Payment Amount |
35783.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
6010 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
654554 |
Total Medical Medicare Allowed Amount |
322528.16 |
Total Medical Medicare Payment Amount |
245646.55 |
Total Medical Medicare Standardized Payment Amount |
248095.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
397 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.59 |