| National Provider Identifier [NPI]: | 1730189218 |
| Last Name Of The Provider | RUANE |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 842 SUNSET LAKE BLVD |
| Street Address 2 Of The Provider | SUITE 403 |
| City Of The Provider | VENICE |
| Zip Code Of The Provider | 342927551 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 110 |
| Number Of Services | 7308 |
| Number Of Medicare Beneficiaries | 1608 |
| Total Submitted Charge Amount | 2102172.76 |
| Total Medicare Allowed Amount | 609162.07 |
| Total Medicare Payment Amount | 461195.23 |
| Total Medicare Standardized Payment Amount | 462829.11 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 637 |
| Number Of Medicare Beneficiaries With Drug Services | 108 |
| Total Drug Submitted ChargeAmount | 346060.45 |
| Total Drug Medicare AllowedAmount | 105320.96 |
| Total Drug Medicare PaymentAmount | 81089.59 |
| Total Drug Medicare Standardized Payment Amount | 81089.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 104 |
| Number Of Medical Services | 6671 |
| Number Of Medicare Beneficiaries With Medical Services | 1608 |
| Total Medical Submitted Charge Amount | 1756112.31 |
| Total Medical Medicare Allowed Amount | 503841.11 |
| Total Medical Medicare Payment Amount | 380105.64 |
| Total Medical Medicare Standardized Payment Amount | 381739.52 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 37 |
| Number Of Beneficiaries Age 65 to 74 | 515 |
| Number Of Beneficiaries Age 75 to 84 | 689 |
| Number Of Beneficiaries Age Greater 84 | 367 |
| Number Of Female Beneficiaries | 348 |
| Number Of Male Beneficiaries | 1260 |
| Number Of Non Hispanic White Beneficiaries | 1560 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 17 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1556 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 52 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 29 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3342 |