National Provider Identifier [NPI]: |
1285646760 |
Last Name Of The Provider |
RAMIREZ |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7600 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE H |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958235406 |
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 |
1370 |
Number Of Medicare Beneficiaries |
542 |
Total Submitted Charge Amount |
138139.21 |
Total Medicare Allowed Amount |
110312.03 |
Total Medicare Payment Amount |
83439.07 |
Total Medicare Standardized Payment Amount |
82257.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
1424.21 |
Total Drug Medicare AllowedAmount |
1022.74 |
Total Drug Medicare PaymentAmount |
1002.01 |
Total Drug Medicare Standardized Payment Amount |
1002.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1317 |
Number Of Medicare Beneficiaries With Medical Services |
541 |
Total Medical Submitted Charge Amount |
136715 |
Total Medical Medicare Allowed Amount |
109289.29 |
Total Medical Medicare Payment Amount |
82437.06 |
Total Medical Medicare Standardized Payment Amount |
81255.89 |
Average Age Of Beneficiaries |
54 |
Number Of Beneficiaries Age Less65 |
374 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
262 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
133 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
409 |
Percent Of With Atrial Fibrillation |
2 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
2 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
55 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1352 |