National Provider Identifier [NPI]: |
1760450902 |
Last Name Of The Provider |
KRAMER |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 1ST ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338814129 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
11856 |
Number Of Medicare Beneficiaries |
1745 |
Total Submitted Charge Amount |
886385.9 |
Total Medicare Allowed Amount |
470021.3 |
Total Medicare Payment Amount |
357473.69 |
Total Medicare Standardized Payment Amount |
362959.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2069 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
38759 |
Total Drug Medicare AllowedAmount |
20509.5 |
Total Drug Medicare PaymentAmount |
16009.78 |
Total Drug Medicare Standardized Payment Amount |
16009.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
9787 |
Number Of Medicare Beneficiaries With Medical Services |
1745 |
Total Medical Submitted Charge Amount |
847626.9 |
Total Medical Medicare Allowed Amount |
449511.8 |
Total Medical Medicare Payment Amount |
341463.91 |
Total Medical Medicare Standardized Payment Amount |
346950.2 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
512 |
Number Of Beneficiaries Age 75 to 84 |
640 |
Number Of Beneficiaries Age Greater 84 |
405 |
Number Of Female Beneficiaries |
898 |
Number Of Male Beneficiaries |
847 |
Number Of Non Hispanic White Beneficiaries |
1541 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1384 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8622 |