National Provider Identifier [NPI]: |
1275519530 |
Last Name Of The Provider |
RAMOS |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
824 MCALPINE ST |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
AVOCA |
Zip Code Of The Provider |
186411140 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
31342 |
Number Of Medicare Beneficiaries |
626 |
Total Submitted Charge Amount |
1797735.77 |
Total Medicare Allowed Amount |
879436.67 |
Total Medicare Payment Amount |
669673.76 |
Total Medicare Standardized Payment Amount |
675823.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
29232 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
1475021 |
Total Drug Medicare AllowedAmount |
707293.66 |
Total Drug Medicare PaymentAmount |
548647.7 |
Total Drug Medicare Standardized Payment Amount |
548647.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
2110 |
Number Of Medicare Beneficiaries With Medical Services |
626 |
Total Medical Submitted Charge Amount |
322714.77 |
Total Medical Medicare Allowed Amount |
172143.01 |
Total Medical Medicare Payment Amount |
121026.06 |
Total Medical Medicare Standardized Payment Amount |
127175.68 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2917 |