National Provider Identifier [NPI]: |
1689601395 |
Last Name Of The Provider |
RAMOS |
First Name Of The Provider |
REY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 YORK ST # CB-2041 |
Street Address 2 Of The Provider |
YNH MEDICAL SERVICES PC |
City Of The Provider |
NEW HAVEN |
Zip Code Of The Provider |
065048900 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
863 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
161554 |
Total Medicare Allowed Amount |
71172.67 |
Total Medicare Payment Amount |
53127.84 |
Total Medicare Standardized Payment Amount |
49907.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
2015 |
Total Drug Medicare AllowedAmount |
633.3 |
Total Drug Medicare PaymentAmount |
610.4 |
Total Drug Medicare Standardized Payment Amount |
610.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
804 |
Number Of Medicare Beneficiaries With Medical Services |
327 |
Total Medical Submitted Charge Amount |
159539 |
Total Medical Medicare Allowed Amount |
70539.37 |
Total Medical Medicare Payment Amount |
52517.44 |
Total Medical Medicare Standardized Payment Amount |
49297.12 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.5535 |