National Provider Identifier [NPI]: |
1942262720 |
Last Name Of The Provider |
RAMANATHAN |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
241 JUNIPER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
QUAKERTOWN |
Zip Code Of The Provider |
189511601 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
1789 |
Number Of Medicare Beneficiaries |
282 |
Total Submitted Charge Amount |
186328.88 |
Total Medicare Allowed Amount |
150708.21 |
Total Medicare Payment Amount |
111365.41 |
Total Medicare Standardized Payment Amount |
106543.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
685 |
Total Drug Medicare AllowedAmount |
213.16 |
Total Drug Medicare PaymentAmount |
202.4 |
Total Drug Medicare Standardized Payment Amount |
202.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1766 |
Number Of Medicare Beneficiaries With Medical Services |
282 |
Total Medical Submitted Charge Amount |
185643.88 |
Total Medical Medicare Allowed Amount |
150495.05 |
Total Medical Medicare Payment Amount |
111163.01 |
Total Medical Medicare Standardized Payment Amount |
106341.15 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
253 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
30 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4473 |