National Provider Identifier [NPI]: |
1558453308 |
Last Name Of The Provider |
RAMDEEN-WRIGHT |
First Name Of The Provider |
NADINE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 W HIBISCUS BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329012629 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
538 |
Number Of Medicare Beneficiaries |
75 |
Total Submitted Charge Amount |
52355 |
Total Medicare Allowed Amount |
24415.08 |
Total Medicare Payment Amount |
17512.41 |
Total Medicare Standardized Payment Amount |
17852.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1593 |
Total Drug Medicare AllowedAmount |
794.01 |
Total Drug Medicare PaymentAmount |
752.4 |
Total Drug Medicare Standardized Payment Amount |
752.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
456 |
Number Of Medicare Beneficiaries With Medical Services |
75 |
Total Medical Submitted Charge Amount |
50762 |
Total Medical Medicare Allowed Amount |
23621.07 |
Total Medical Medicare Payment Amount |
16760.01 |
Total Medical Medicare Standardized Payment Amount |
17100.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
47 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
50 |
Number Of Male Beneficiaries |
25 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
0 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7519 |