National Provider Identifier [NPI]: |
1508973900 |
Last Name Of The Provider |
RAMNATH |
First Name Of The Provider |
RAVI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1344 S APOLLO BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329013183 |
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 |
110 |
Number Of Services |
1614 |
Number Of Medicare Beneficiaries |
1094 |
Total Submitted Charge Amount |
1884950.5 |
Total Medicare Allowed Amount |
311968.88 |
Total Medicare Payment Amount |
227855.41 |
Total Medicare Standardized Payment Amount |
243320.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
1570 |
Total Drug Medicare AllowedAmount |
81.51 |
Total Drug Medicare PaymentAmount |
60.71 |
Total Drug Medicare Standardized Payment Amount |
60.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
1547 |
Number Of Medicare Beneficiaries With Medical Services |
1094 |
Total Medical Submitted Charge Amount |
1883380.5 |
Total Medical Medicare Allowed Amount |
311887.37 |
Total Medical Medicare Payment Amount |
227794.7 |
Total Medical Medicare Standardized Payment Amount |
243259.9 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
224 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
929 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
915 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2521 |