National Provider Identifier [NPI]: |
1346248242 |
Last Name Of The Provider |
RYAN |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1917 KNOX MCRAE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TITUSVILLE |
Zip Code Of The Provider |
327805360 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
3405 |
Number Of Medicare Beneficiaries |
1122 |
Total Submitted Charge Amount |
583545 |
Total Medicare Allowed Amount |
351900.62 |
Total Medicare Payment Amount |
242917.2 |
Total Medicare Standardized Payment Amount |
244964.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3405 |
Number Of Medicare Beneficiaries With Medical Services |
1122 |
Total Medical Submitted Charge Amount |
583545 |
Total Medical Medicare Allowed Amount |
351900.62 |
Total Medical Medicare Payment Amount |
242917.2 |
Total Medical Medicare Standardized Payment Amount |
244964.89 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
415 |
Number Of Beneficiaries Age 75 to 84 |
468 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
665 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
1050 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1083 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1505 |