National Provider Identifier [NPI]: |
1104877125 |
Last Name Of The Provider |
MURPHY |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
417 QUARRY LAKES DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANDUSKY |
Zip Code Of The Provider |
448704132 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
91953 |
Number Of Medicare Beneficiaries |
999 |
Total Submitted Charge Amount |
8142581.99 |
Total Medicare Allowed Amount |
1523101.65 |
Total Medicare Payment Amount |
1192781.23 |
Total Medicare Standardized Payment Amount |
1193033.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
81705 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
6028750.39 |
Total Drug Medicare AllowedAmount |
1186022.32 |
Total Drug Medicare PaymentAmount |
928532.16 |
Total Drug Medicare Standardized Payment Amount |
928532.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
10248 |
Number Of Medicare Beneficiaries With Medical Services |
999 |
Total Medical Submitted Charge Amount |
2113831.6 |
Total Medical Medicare Allowed Amount |
337079.33 |
Total Medical Medicare Payment Amount |
264249.07 |
Total Medical Medicare Standardized Payment Amount |
264501.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
415 |
Number Of Beneficiaries Age 75 to 84 |
365 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
575 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
942 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
869 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7263 |