National Provider Identifier [NPI]: |
1306891122 |
Last Name Of The Provider |
RAMZI |
First Name Of The Provider |
DINO |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6626 CHAPEL HILL BLVD |
Street Address 2 Of The Provider |
L-302 |
City Of The Provider |
PASCO |
Zip Code Of The Provider |
993013178 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
914 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
98069 |
Total Medicare Allowed Amount |
44176.05 |
Total Medicare Payment Amount |
29909.19 |
Total Medicare Standardized Payment Amount |
30217.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
627 |
Total Drug Medicare AllowedAmount |
374.4 |
Total Drug Medicare PaymentAmount |
360.62 |
Total Drug Medicare Standardized Payment Amount |
360.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
889 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
97442 |
Total Medical Medicare Allowed Amount |
43801.65 |
Total Medical Medicare Payment Amount |
29548.57 |
Total Medical Medicare Standardized Payment Amount |
29856.71 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
64 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
182 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3062 |