National Provider Identifier [NPI]: |
1558330381 |
Last Name Of The Provider |
RAMSEY |
First Name Of The Provider |
TERROLL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 E BRYAN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAPULPA |
Zip Code Of The Provider |
740664512 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3046 |
Number Of Medicare Beneficiaries |
464 |
Total Submitted Charge Amount |
248403 |
Total Medicare Allowed Amount |
117739.73 |
Total Medicare Payment Amount |
76889.31 |
Total Medicare Standardized Payment Amount |
85833.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
276 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
6713 |
Total Drug Medicare AllowedAmount |
3569.42 |
Total Drug Medicare PaymentAmount |
3344.75 |
Total Drug Medicare Standardized Payment Amount |
3344.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2770 |
Number Of Medicare Beneficiaries With Medical Services |
464 |
Total Medical Submitted Charge Amount |
241690 |
Total Medical Medicare Allowed Amount |
114170.31 |
Total Medical Medicare Payment Amount |
73544.56 |
Total Medical Medicare Standardized Payment Amount |
82489.03 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
246 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
416 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
25 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.027 |