National Provider Identifier [NPI]: |
1962457135 |
Last Name Of The Provider |
RAMSEY |
First Name Of The Provider |
HARRY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3200 E RACINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JANESVILLE |
Zip Code Of The Provider |
535462343 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
6366 |
Number Of Medicare Beneficiaries |
737 |
Total Submitted Charge Amount |
638045.64 |
Total Medicare Allowed Amount |
177648.25 |
Total Medicare Payment Amount |
139812.91 |
Total Medicare Standardized Payment Amount |
143516.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
30 |
Number Of Drug Services |
1029 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
41199.5 |
Total Drug Medicare AllowedAmount |
20211.57 |
Total Drug Medicare PaymentAmount |
16977.34 |
Total Drug Medicare Standardized Payment Amount |
16977.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
5337 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
596846.14 |
Total Medical Medicare Allowed Amount |
157436.68 |
Total Medical Medicare Payment Amount |
122835.57 |
Total Medical Medicare Standardized Payment Amount |
126538.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
362 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
717 |
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 |
597 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0784 |