National Provider Identifier [NPI]: |
1205812856 |
Last Name Of The Provider |
RANESES |
First Name Of The Provider |
RAMON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3399 POLLOCK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND BLANC |
Zip Code Of The Provider |
484398395 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
5308 |
Number Of Medicare Beneficiaries |
1118 |
Total Submitted Charge Amount |
953197.47 |
Total Medicare Allowed Amount |
540831.16 |
Total Medicare Payment Amount |
407041.02 |
Total Medicare Standardized Payment Amount |
425871.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
900 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
64893.72 |
Total Drug Medicare AllowedAmount |
46496.4 |
Total Drug Medicare PaymentAmount |
36195.95 |
Total Drug Medicare Standardized Payment Amount |
36195.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4408 |
Number Of Medicare Beneficiaries With Medical Services |
1118 |
Total Medical Submitted Charge Amount |
888303.75 |
Total Medical Medicare Allowed Amount |
494334.76 |
Total Medical Medicare Payment Amount |
370845.07 |
Total Medical Medicare Standardized Payment Amount |
389675.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
584 |
Number Of Non Hispanic White Beneficiaries |
1031 |
Number Of Black or African American Beneficiaries |
64 |
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 |
972 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7623 |