Medicare Facts for Ramon De La Rosa


National Provider Identifier [NPI]: 1194792903
Last Name Of The Provider ROSA
First Name Of The Provider RAMON
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 16704 KINGS HWY
Street Address 2 Of The Provider
City Of The Provider LEWES
Zip Code Of The Provider 199584929
State Code Of The Provider DE
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 95
Number Of Services 11674
Number Of Medicare Beneficiaries 2760
Total Submitted Charge Amount 1715901.15
Total Medicare Allowed Amount 813037.74
Total Medicare Payment Amount 603776.99
Total Medicare Standardized Payment Amount 592373.17
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 482
Number Of Medicare Beneficiaries With Drug Services 116
Total Drug Submitted ChargeAmount 27858
Total Drug Medicare AllowedAmount 24631.96
Total Drug Medicare PaymentAmount 19311.34
Total Drug Medicare Standardized Payment Amount 19311.34
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 93
Number Of Medical Services 11192
Number Of Medicare Beneficiaries With Medical Services 2760
Total Medical Submitted Charge Amount 1688043.15
Total Medical Medicare Allowed Amount 788405.78
Total Medical Medicare Payment Amount 584465.65
Total Medical Medicare Standardized Payment Amount 573061.83
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 152
Number Of Beneficiaries Age 65 to 74 1134
Number Of Beneficiaries Age 75 to 84 1108
Number Of Beneficiaries Age Greater 84 366
Number Of Female Beneficiaries 1286
Number Of Male Beneficiaries 1474
Number Of Non Hispanic White Beneficiaries 2594
Number Of Black or African American Beneficiaries 84
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 39
Number Of Beneficiaries With Medicare Only Entitlement 2535
Number Of Beneficiaries With Medicare Medicaid Entitlement 225
Percent Of With Atrial Fibrillation 33
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 6
Percent Of With Cancer 13
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 17
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 64
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.3389

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