National Provider Identifier [NPI]: |
1376569111 |
Last Name Of The Provider |
RAMSDELL |
First Name Of The Provider |
JOE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 W ARBOR DR |
Street Address 2 Of The Provider |
MAIL CODE 8415 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921039001 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
950 |
Number Of Medicare Beneficiaries |
209 |
Total Submitted Charge Amount |
160297 |
Total Medicare Allowed Amount |
74915.18 |
Total Medicare Payment Amount |
56678.2 |
Total Medicare Standardized Payment Amount |
54433.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
4873 |
Total Drug Medicare AllowedAmount |
2763.77 |
Total Drug Medicare PaymentAmount |
2707.81 |
Total Drug Medicare Standardized Payment Amount |
2707.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
868 |
Number Of Medicare Beneficiaries With Medical Services |
209 |
Total Medical Submitted Charge Amount |
155424 |
Total Medical Medicare Allowed Amount |
72151.41 |
Total Medical Medicare Payment Amount |
53970.39 |
Total Medical Medicare Standardized Payment Amount |
51725.56 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
98 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
187 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0384 |