National Provider Identifier [NPI]: |
1033191762 |
Last Name Of The Provider |
RAMIREZ |
First Name Of The Provider |
ROBERTO |
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 |
3349 S HWY 181 |
Street Address 2 Of The Provider |
4 |
City Of The Provider |
KENEDY |
Zip Code Of The Provider |
781195268 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3723 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
250073 |
Total Medicare Allowed Amount |
212766.48 |
Total Medicare Payment Amount |
145607.46 |
Total Medicare Standardized Payment Amount |
155315.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1004 |
Number Of Medicare Beneficiaries With Drug Services |
327 |
Total Drug Submitted ChargeAmount |
19995 |
Total Drug Medicare AllowedAmount |
10477.66 |
Total Drug Medicare PaymentAmount |
9637.65 |
Total Drug Medicare Standardized Payment Amount |
9637.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
2719 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
230078 |
Total Medical Medicare Allowed Amount |
202288.82 |
Total Medical Medicare Payment Amount |
135969.81 |
Total Medical Medicare Standardized Payment Amount |
145677.98 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
218 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
211 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.056 |