National Provider Identifier [NPI]: |
1619923885 |
Last Name Of The Provider |
KRISHNAN |
First Name Of The Provider |
RAMIAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
126 DEL PRADO BLVD N |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339092702 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
6896 |
Number Of Medicare Beneficiaries |
841 |
Total Submitted Charge Amount |
745778.99 |
Total Medicare Allowed Amount |
543309.59 |
Total Medicare Payment Amount |
394791.38 |
Total Medicare Standardized Payment Amount |
380304.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
664 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
19300 |
Total Drug Medicare AllowedAmount |
9911.91 |
Total Drug Medicare PaymentAmount |
9324.66 |
Total Drug Medicare Standardized Payment Amount |
9324.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
6232 |
Number Of Medicare Beneficiaries With Medical Services |
841 |
Total Medical Submitted Charge Amount |
726478.99 |
Total Medical Medicare Allowed Amount |
533397.68 |
Total Medical Medicare Payment Amount |
385466.72 |
Total Medical Medicare Standardized Payment Amount |
370979.48 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
718 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0469 |