National Provider Identifier [NPI]: |
1841393303 |
Last Name Of The Provider |
GOPALAN |
First Name Of The Provider |
RAMPRASAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 SOUTH CONGRESS AVE STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
33426 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
60485 |
Number Of Medicare Beneficiaries |
947 |
Total Submitted Charge Amount |
557444.85 |
Total Medicare Allowed Amount |
483350.27 |
Total Medicare Payment Amount |
375108.89 |
Total Medicare Standardized Payment Amount |
360879.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
56311 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
74964.85 |
Total Drug Medicare AllowedAmount |
49409.09 |
Total Drug Medicare PaymentAmount |
38737.8 |
Total Drug Medicare Standardized Payment Amount |
38737.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
4174 |
Number Of Medicare Beneficiaries With Medical Services |
947 |
Total Medical Submitted Charge Amount |
482480 |
Total Medical Medicare Allowed Amount |
433941.18 |
Total Medical Medicare Payment Amount |
336371.09 |
Total Medical Medicare Standardized Payment Amount |
322141.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
698 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
606 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
341 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
68 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.0647 |