National Provider Identifier [NPI]: |
1710171988 |
Last Name Of The Provider |
RAMIREZ |
First Name Of The Provider |
ANGELICA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
880 NW 13TH ST |
Street Address 2 Of The Provider |
SUITE 3-B |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334862342 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
2295 |
Number Of Medicare Beneficiaries |
259 |
Total Submitted Charge Amount |
319650 |
Total Medicare Allowed Amount |
188407.82 |
Total Medicare Payment Amount |
147869.91 |
Total Medicare Standardized Payment Amount |
148457.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1459 |
Total Drug Medicare AllowedAmount |
779.35 |
Total Drug Medicare PaymentAmount |
758.88 |
Total Drug Medicare Standardized Payment Amount |
758.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2253 |
Number Of Medicare Beneficiaries With Medical Services |
259 |
Total Medical Submitted Charge Amount |
318191 |
Total Medical Medicare Allowed Amount |
187628.47 |
Total Medical Medicare Payment Amount |
147111.03 |
Total Medical Medicare Standardized Payment Amount |
147698.36 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
230 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.765 |