National Provider Identifier [NPI]: |
1013918903 |
Last Name Of The Provider |
RAMAN |
First Name Of The Provider |
MURLI |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13128 N 94TH DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
853814254 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
17564 |
Number Of Medicare Beneficiaries |
1511 |
Total Submitted Charge Amount |
2246447.55 |
Total Medicare Allowed Amount |
882090.33 |
Total Medicare Payment Amount |
676580.47 |
Total Medicare Standardized Payment Amount |
684353.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
387 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
27890 |
Total Drug Medicare AllowedAmount |
408.36 |
Total Drug Medicare PaymentAmount |
320.17 |
Total Drug Medicare Standardized Payment Amount |
320.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
17177 |
Number Of Medicare Beneficiaries With Medical Services |
1511 |
Total Medical Submitted Charge Amount |
2218557.55 |
Total Medical Medicare Allowed Amount |
881681.97 |
Total Medical Medicare Payment Amount |
676260.3 |
Total Medical Medicare Standardized Payment Amount |
684032.85 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
537 |
Number Of Beneficiaries Age 75 to 84 |
610 |
Number Of Beneficiaries Age Greater 84 |
304 |
Number Of Female Beneficiaries |
704 |
Number Of Male Beneficiaries |
807 |
Number Of Non Hispanic White Beneficiaries |
1411 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5051 |