| National Provider Identifier [NPI]: | 1336339811 |
| Last Name Of The Provider | RAMOS |
| First Name Of The Provider | MARK |
| 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 | 965 S BENEVA RD |
| Street Address 2 Of The Provider | INTERCOASTAL CARDIOLOGY |
| City Of The Provider | SARASOTA |
| Zip Code Of The Provider | 342322401 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 107 |
| Number Of Services | 17068 |
| Number Of Medicare Beneficiaries | 4282 |
| Total Submitted Charge Amount | 2457561.64 |
| Total Medicare Allowed Amount | 1181596.15 |
| Total Medicare Payment Amount | 891762.22 |
| Total Medicare Standardized Payment Amount | 903583.04 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 5066 |
| Number Of Medicare Beneficiaries With Drug Services | 167 |
| Total Drug Submitted ChargeAmount | 57642 |
| Total Drug Medicare AllowedAmount | 27138.47 |
| Total Drug Medicare PaymentAmount | 21276.38 |
| Total Drug Medicare Standardized Payment Amount | 21276.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 12002 |
| Number Of Medicare Beneficiaries With Medical Services | 4282 |
| Total Medical Submitted Charge Amount | 2399919.64 |
| Total Medical Medicare Allowed Amount | 1154457.68 |
| Total Medical Medicare Payment Amount | 870485.84 |
| Total Medical Medicare Standardized Payment Amount | 882306.66 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 193 |
| Number Of Beneficiaries Age 65 to 74 | 1426 |
| Number Of Beneficiaries Age 75 to 84 | 1581 |
| Number Of Beneficiaries Age Greater 84 | 1082 |
| Number Of Female Beneficiaries | 2096 |
| Number Of Male Beneficiaries | 2186 |
| Number Of Non Hispanic White Beneficiaries | 3991 |
| Number Of Black or African American Beneficiaries | 105 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 110 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3864 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 418 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.5012 |