| National Provider Identifier [NPI]: | 1033192083 |
| Last Name Of The Provider | RAMOS |
| First Name Of The Provider | RENATO |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1559 W BIG BEAVER RD |
| Street Address 2 Of The Provider | STE E |
| City Of The Provider | TROY |
| Zip Code Of The Provider | 480843525 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 41 |
| Number Of Services | 4907 |
| Number Of Medicare Beneficiaries | 2472 |
| Total Submitted Charge Amount | 588113 |
| Total Medicare Allowed Amount | 239969.8 |
| Total Medicare Payment Amount | 175577.73 |
| Total Medicare Standardized Payment Amount | 173184.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 200 |
| Number Of Medicare Beneficiaries With Drug Services | 50 |
| Total Drug Submitted ChargeAmount | 15000 |
| Total Drug Medicare AllowedAmount | 10584.24 |
| Total Drug Medicare PaymentAmount | 8039.05 |
| Total Drug Medicare Standardized Payment Amount | 8039.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 40 |
| Number Of Medical Services | 4707 |
| Number Of Medicare Beneficiaries With Medical Services | 2472 |
| Total Medical Submitted Charge Amount | 573113 |
| Total Medical Medicare Allowed Amount | 229385.56 |
| Total Medical Medicare Payment Amount | 167538.68 |
| Total Medical Medicare Standardized Payment Amount | 165145.89 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 381 |
| Number Of Beneficiaries Age 65 to 74 | 714 |
| Number Of Beneficiaries Age 75 to 84 | 791 |
| Number Of Beneficiaries Age Greater 84 | 586 |
| Number Of Female Beneficiaries | 1371 |
| Number Of Male Beneficiaries | 1101 |
| Number Of Non Hispanic White Beneficiaries | 1800 |
| Number Of Black or African American Beneficiaries | 521 |
| Number Of AsianPacific Islander Beneficiaries | 65 |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1943 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 529 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 18 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 49 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 72 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.2823 |