National Provider Identifier [NPI]: |
1396709424 |
Last Name Of The Provider |
BALARAMAN |
First Name Of The Provider |
RAMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
433 SW 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344710209 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
226962 |
Number Of Medicare Beneficiaries |
1047 |
Total Submitted Charge Amount |
14098980 |
Total Medicare Allowed Amount |
4062007.56 |
Total Medicare Payment Amount |
3192486.15 |
Total Medicare Standardized Payment Amount |
3193698.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
92 |
Number Of Drug Services |
204036 |
Number Of Medicare Beneficiaries With Drug Services |
471 |
Total Drug Submitted ChargeAmount |
11141474 |
Total Drug Medicare AllowedAmount |
3201813.1 |
Total Drug Medicare PaymentAmount |
2503175.83 |
Total Drug Medicare Standardized Payment Amount |
2503175.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
22926 |
Number Of Medicare Beneficiaries With Medical Services |
1047 |
Total Medical Submitted Charge Amount |
2957506 |
Total Medical Medicare Allowed Amount |
860194.46 |
Total Medical Medicare Payment Amount |
689310.32 |
Total Medical Medicare Standardized Payment Amount |
690522.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
411 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
628 |
Number Of Male Beneficiaries |
419 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
945 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0609 |