National Provider Identifier [NPI]: |
1659302818 |
Last Name Of The Provider |
RAMANAN |
First Name Of The Provider |
VENKAT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3575 OLD WASHINGTON RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
WALDORF |
Zip Code Of The Provider |
206023269 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3903 |
Number Of Medicare Beneficiaries |
753 |
Total Submitted Charge Amount |
620965 |
Total Medicare Allowed Amount |
347909.31 |
Total Medicare Payment Amount |
253470.95 |
Total Medicare Standardized Payment Amount |
246269.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
336 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
13060 |
Total Drug Medicare AllowedAmount |
7904.15 |
Total Drug Medicare PaymentAmount |
7609.98 |
Total Drug Medicare Standardized Payment Amount |
7609.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
753 |
Total Medical Submitted Charge Amount |
607905 |
Total Medical Medicare Allowed Amount |
340005.16 |
Total Medical Medicare Payment Amount |
245860.97 |
Total Medical Medicare Standardized Payment Amount |
238659.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
448 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
314 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1906 |