National Provider Identifier [NPI]: |
1427014778 |
Last Name Of The Provider |
RAM |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515648 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
151 |
Number Of Services |
38504 |
Number Of Medicare Beneficiaries |
2554 |
Total Submitted Charge Amount |
2093495.75 |
Total Medicare Allowed Amount |
491319.92 |
Total Medicare Payment Amount |
370960.61 |
Total Medicare Standardized Payment Amount |
387809.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
33978 |
Number Of Medicare Beneficiaries With Drug Services |
429 |
Total Drug Submitted ChargeAmount |
71496.75 |
Total Drug Medicare AllowedAmount |
11803.95 |
Total Drug Medicare PaymentAmount |
9175.56 |
Total Drug Medicare Standardized Payment Amount |
9175.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
4526 |
Number Of Medicare Beneficiaries With Medical Services |
2551 |
Total Medical Submitted Charge Amount |
2021999 |
Total Medical Medicare Allowed Amount |
479515.97 |
Total Medical Medicare Payment Amount |
361785.05 |
Total Medical Medicare Standardized Payment Amount |
378634.33 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
1119 |
Number Of Beneficiaries Age 75 to 84 |
872 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
1422 |
Number Of Male Beneficiaries |
1132 |
Number Of Non Hispanic White Beneficiaries |
2364 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.3604 |