| National Provider Identifier [NPI]: | 1467489997 |
| Last Name Of The Provider | RAMSEY |
| First Name Of The Provider | RUTH |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 664 NORTH WELLS STREET |
| Street Address 2 Of The Provider | MRI RIVER NORTH |
| City Of The Provider | CHICAGO |
| Zip Code Of The Provider | 60610 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 139 |
| Number Of Services | 44993 |
| Number Of Medicare Beneficiaries | 2648 |
| Total Submitted Charge Amount | 2822523 |
| Total Medicare Allowed Amount | 951767.56 |
| Total Medicare Payment Amount | 721896.66 |
| Total Medicare Standardized Payment Amount | 716442.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 39552 |
| Number Of Medicare Beneficiaries With Drug Services | 860 |
| Total Drug Submitted ChargeAmount | 127320 |
| Total Drug Medicare AllowedAmount | 19223.06 |
| Total Drug Medicare PaymentAmount | 14945.79 |
| Total Drug Medicare Standardized Payment Amount | 14945.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 134 |
| Number Of Medical Services | 5441 |
| Number Of Medicare Beneficiaries With Medical Services | 2647 |
| Total Medical Submitted Charge Amount | 2695203 |
| Total Medical Medicare Allowed Amount | 932544.5 |
| Total Medical Medicare Payment Amount | 706950.87 |
| Total Medical Medicare Standardized Payment Amount | 701496.48 |
| Average Age Of Beneficiaries | 65 |
| Number Of Beneficiaries Age Less65 | 1099 |
| Number Of Beneficiaries Age 65 to 74 | 957 |
| Number Of Beneficiaries Age 75 to 84 | 465 |
| Number Of Beneficiaries Age Greater 84 | 127 |
| Number Of Female Beneficiaries | 1494 |
| Number Of Male Beneficiaries | 1154 |
| Number Of Non Hispanic White Beneficiaries | 1454 |
| Number Of Black or African American Beneficiaries | 828 |
| Number Of AsianPacific Islander Beneficiaries | 109 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 184 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1166 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1482 |
| Percent Of With Atrial Fibrillation | 5 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 20 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 25 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 55 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 66 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3792 |