National Provider Identifier [NPI]: |
1083611412 |
Last Name Of The Provider |
RAMSEY |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 HOSPITAL DR |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
377605279 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
5254 |
Number Of Medicare Beneficiaries |
662 |
Total Submitted Charge Amount |
319391 |
Total Medicare Allowed Amount |
164175.12 |
Total Medicare Payment Amount |
124035.01 |
Total Medicare Standardized Payment Amount |
134069.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
247 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
6350 |
Total Drug Medicare AllowedAmount |
3999.86 |
Total Drug Medicare PaymentAmount |
3700.72 |
Total Drug Medicare Standardized Payment Amount |
3700.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
5007 |
Number Of Medicare Beneficiaries With Medical Services |
662 |
Total Medical Submitted Charge Amount |
313041 |
Total Medical Medicare Allowed Amount |
160175.26 |
Total Medical Medicare Payment Amount |
120334.29 |
Total Medical Medicare Standardized Payment Amount |
130369.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
383 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
636 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2307 |