National Provider Identifier [NPI]: |
1659378743 |
Last Name Of The Provider |
THIMMIAH |
First Name Of The Provider |
RAMESH |
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 |
138 ROCKDALE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FOLLANSBEE |
Zip Code Of The Provider |
260371658 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
7355 |
Number Of Medicare Beneficiaries |
1055 |
Total Submitted Charge Amount |
862033 |
Total Medicare Allowed Amount |
487564.2 |
Total Medicare Payment Amount |
369829.94 |
Total Medicare Standardized Payment Amount |
346426.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
3760 |
Total Drug Medicare AllowedAmount |
1158.11 |
Total Drug Medicare PaymentAmount |
1017.87 |
Total Drug Medicare Standardized Payment Amount |
1017.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
7242 |
Number Of Medicare Beneficiaries With Medical Services |
1055 |
Total Medical Submitted Charge Amount |
858273 |
Total Medical Medicare Allowed Amount |
486406.09 |
Total Medical Medicare Payment Amount |
368812.07 |
Total Medical Medicare Standardized Payment Amount |
345408.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
596 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
1018 |
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 |
668 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3999 |