National Provider Identifier [NPI]: |
1962585679 |
Last Name Of The Provider |
RAMANA |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 E OGDEN AVE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
WESTMONT |
Zip Code Of The Provider |
605595569 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1801 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
476677 |
Total Medicare Allowed Amount |
214756.78 |
Total Medicare Payment Amount |
165944.89 |
Total Medicare Standardized Payment Amount |
156056.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
647 |
Total Drug Medicare AllowedAmount |
493.34 |
Total Drug Medicare PaymentAmount |
483.46 |
Total Drug Medicare Standardized Payment Amount |
483.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1788 |
Number Of Medicare Beneficiaries With Medical Services |
739 |
Total Medical Submitted Charge Amount |
476030 |
Total Medical Medicare Allowed Amount |
214263.44 |
Total Medical Medicare Payment Amount |
165461.43 |
Total Medical Medicare Standardized Payment Amount |
155573.52 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
664 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
614 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.153 |