National Provider Identifier [NPI]: |
1295960698 |
Last Name Of The Provider |
RAMIREZ |
First Name Of The Provider |
REY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 COOPER PLZ |
Street Address 2 Of The Provider |
SUITE 408 |
City Of The Provider |
CAMDEN |
Zip Code Of The Provider |
081031438 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
678 |
Number Of Medicare Beneficiaries |
161 |
Total Submitted Charge Amount |
116774 |
Total Medicare Allowed Amount |
56068.94 |
Total Medicare Payment Amount |
43464.03 |
Total Medicare Standardized Payment Amount |
44547.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
4226 |
Total Drug Medicare AllowedAmount |
3740.02 |
Total Drug Medicare PaymentAmount |
2929.67 |
Total Drug Medicare Standardized Payment Amount |
2929.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
500 |
Number Of Medicare Beneficiaries With Medical Services |
161 |
Total Medical Submitted Charge Amount |
112548 |
Total Medical Medicare Allowed Amount |
52328.92 |
Total Medical Medicare Payment Amount |
40534.36 |
Total Medical Medicare Standardized Payment Amount |
41617.96 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
147 |
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 |
106 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1514 |