National Provider Identifier [NPI]: |
1447200951 |
Last Name Of The Provider |
FLORES |
First Name Of The Provider |
RAMON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
PONCE DE LEON AVE. 1801 SANTURCE MEDICAL MALL |
Street Address 2 Of The Provider |
306 |
City Of The Provider |
SAN JUAN |
Zip Code Of The Provider |
00909 |
State Code Of The Provider |
PR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
858 |
Number Of Medicare Beneficiaries |
156 |
Total Submitted Charge Amount |
67385 |
Total Medicare Allowed Amount |
56231.1 |
Total Medicare Payment Amount |
42634.59 |
Total Medicare Standardized Payment Amount |
40281.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
460 |
Total Drug Medicare AllowedAmount |
163.62 |
Total Drug Medicare PaymentAmount |
111.19 |
Total Drug Medicare Standardized Payment Amount |
111.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
766 |
Number Of Medicare Beneficiaries With Medical Services |
156 |
Total Medical Submitted Charge Amount |
66925 |
Total Medical Medicare Allowed Amount |
56067.48 |
Total Medical Medicare Payment Amount |
42523.4 |
Total Medical Medicare Standardized Payment Amount |
40169.9 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
106 |
Number Of Male Beneficiaries |
50 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
51 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6458 |