National Provider Identifier [NPI]: |
1225015811 |
Last Name Of The Provider |
RAMSARAN |
First Name Of The Provider |
EDDISON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
123 SUMMER ST |
Street Address 2 Of The Provider |
SUITE 290 N |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
01608 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1469 |
Number Of Medicare Beneficiaries |
768 |
Total Submitted Charge Amount |
285940 |
Total Medicare Allowed Amount |
117687.35 |
Total Medicare Payment Amount |
87688.1 |
Total Medicare Standardized Payment Amount |
85702.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
12640 |
Total Drug Medicare AllowedAmount |
8473.45 |
Total Drug Medicare PaymentAmount |
6643.11 |
Total Drug Medicare Standardized Payment Amount |
6643.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1309 |
Number Of Medicare Beneficiaries With Medical Services |
768 |
Total Medical Submitted Charge Amount |
273300 |
Total Medical Medicare Allowed Amount |
109213.9 |
Total Medical Medicare Payment Amount |
81044.99 |
Total Medical Medicare Standardized Payment Amount |
79058.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
678 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.723 |