| National Provider Identifier [NPI]: | 1184662710 |
| Last Name Of The Provider | RUIZ |
| First Name Of The Provider | FERNANDO |
| 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 | 443 HEYMANN BLVD |
| Street Address 2 Of The Provider | STE B |
| City Of The Provider | LAFAYETTE |
| Zip Code Of The Provider | 705032630 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 126 |
| Number Of Services | 9417 |
| Number Of Medicare Beneficiaries | 2756 |
| Total Submitted Charge Amount | 2542008.22 |
| Total Medicare Allowed Amount | 743759.24 |
| Total Medicare Payment Amount | 555440.01 |
| Total Medicare Standardized Payment Amount | 602713.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 775 |
| Number Of Medicare Beneficiaries With Drug Services | 190 |
| Total Drug Submitted ChargeAmount | 42617.52 |
| Total Drug Medicare AllowedAmount | 40664.95 |
| Total Drug Medicare PaymentAmount | 30773.45 |
| Total Drug Medicare Standardized Payment Amount | 30773.45 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 123 |
| Number Of Medical Services | 8642 |
| Number Of Medicare Beneficiaries With Medical Services | 2756 |
| Total Medical Submitted Charge Amount | 2499390.7 |
| Total Medical Medicare Allowed Amount | 703094.29 |
| Total Medical Medicare Payment Amount | 524666.56 |
| Total Medical Medicare Standardized Payment Amount | 571940.4 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 571 |
| Number Of Beneficiaries Age 65 to 74 | 1011 |
| Number Of Beneficiaries Age 75 to 84 | 799 |
| Number Of Beneficiaries Age Greater 84 | 375 |
| Number Of Female Beneficiaries | 1526 |
| Number Of Male Beneficiaries | 1230 |
| Number Of Non Hispanic White Beneficiaries | 2030 |
| Number Of Black or African American Beneficiaries | 665 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 39 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1815 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 941 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7348 |