National Provider Identifier [NPI]: |
1487684890 |
Last Name Of The Provider |
RAMIREZ |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8631 W 150TH ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662232294 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
755 |
Number Of Medicare Beneficiaries |
210 |
Total Submitted Charge Amount |
107045 |
Total Medicare Allowed Amount |
74425.29 |
Total Medicare Payment Amount |
50609.17 |
Total Medicare Standardized Payment Amount |
56749.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
525 |
Total Drug Medicare AllowedAmount |
311.04 |
Total Drug Medicare PaymentAmount |
298.32 |
Total Drug Medicare Standardized Payment Amount |
298.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
739 |
Number Of Medicare Beneficiaries With Medical Services |
210 |
Total Medical Submitted Charge Amount |
106520 |
Total Medical Medicare Allowed Amount |
74114.25 |
Total Medical Medicare Payment Amount |
50310.85 |
Total Medical Medicare Standardized Payment Amount |
56451.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
114 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
199 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
23 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7807 |