National Provider Identifier [NPI]: |
1326035122 |
Last Name Of The Provider |
GARCIA-RAMOS |
First Name Of The Provider |
ERNESTO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1337 CENTRE CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
713013405 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
6942 |
Number Of Medicare Beneficiaries |
958 |
Total Submitted Charge Amount |
543582 |
Total Medicare Allowed Amount |
301421.18 |
Total Medicare Payment Amount |
226532.87 |
Total Medicare Standardized Payment Amount |
220303.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
4346 |
Total Drug Medicare AllowedAmount |
1925.93 |
Total Drug Medicare PaymentAmount |
1827.01 |
Total Drug Medicare Standardized Payment Amount |
1827.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
6775 |
Number Of Medicare Beneficiaries With Medical Services |
957 |
Total Medical Submitted Charge Amount |
539236 |
Total Medical Medicare Allowed Amount |
299495.25 |
Total Medical Medicare Payment Amount |
224705.86 |
Total Medical Medicare Standardized Payment Amount |
218476.08 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
725 |
Number Of Black or African American Beneficiaries |
216 |
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 |
657 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
301 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7519 |