National Provider Identifier [NPI]: |
1558439083 |
Last Name Of The Provider |
RAMPERTAAP |
First Name Of The Provider |
MOONASAR |
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 |
203 3RD AVE E |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342081013 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
6527 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
1373982 |
Total Medicare Allowed Amount |
878919.41 |
Total Medicare Payment Amount |
676975.8 |
Total Medicare Standardized Payment Amount |
681964.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
6527 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
1373982 |
Total Medical Medicare Allowed Amount |
878919.41 |
Total Medical Medicare Payment Amount |
676975.8 |
Total Medical Medicare Standardized Payment Amount |
681964.34 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
558 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
71 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0583 |