National Provider Identifier [NPI]: |
1013988807 |
Last Name Of The Provider |
RAMAN |
First Name Of The Provider |
SHANKAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD,MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 H ST |
Street Address 2 Of The Provider |
STE D |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933011900 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5902 |
Number Of Medicare Beneficiaries |
1039 |
Total Submitted Charge Amount |
2593175.52 |
Total Medicare Allowed Amount |
584207.08 |
Total Medicare Payment Amount |
454429.03 |
Total Medicare Standardized Payment Amount |
444324.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1925 |
Total Drug Medicare AllowedAmount |
590.49 |
Total Drug Medicare PaymentAmount |
528.87 |
Total Drug Medicare Standardized Payment Amount |
528.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5822 |
Number Of Medicare Beneficiaries With Medical Services |
1039 |
Total Medical Submitted Charge Amount |
2591250.52 |
Total Medical Medicare Allowed Amount |
583616.59 |
Total Medical Medicare Payment Amount |
453900.16 |
Total Medical Medicare Standardized Payment Amount |
443795.81 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
302 |
Number Of Beneficiaries Age 65 to 74 |
331 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
508 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
397 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
697 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
67 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.1711 |