National Provider Identifier [NPI]: |
1427136894 |
Last Name Of The Provider |
RAMIREZ |
First Name Of The Provider |
ALFREDO |
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 |
2820 ALUM ROCK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951275608 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1880 |
Number Of Medicare Beneficiaries |
310 |
Total Submitted Charge Amount |
171404.2 |
Total Medicare Allowed Amount |
155460.77 |
Total Medicare Payment Amount |
104460.61 |
Total Medicare Standardized Payment Amount |
91338.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
443 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
16722.2 |
Total Drug Medicare AllowedAmount |
5816.7 |
Total Drug Medicare PaymentAmount |
4971.57 |
Total Drug Medicare Standardized Payment Amount |
4971.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
1437 |
Number Of Medicare Beneficiaries With Medical Services |
310 |
Total Medical Submitted Charge Amount |
154682 |
Total Medical Medicare Allowed Amount |
149644.07 |
Total Medical Medicare Payment Amount |
99489.04 |
Total Medical Medicare Standardized Payment Amount |
86366.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
21 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
272 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
94 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0588 |