National Provider Identifier [NPI]: |
1457336471 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
DAWN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MSN, FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 CLAREMONT STREET, SUITE E |
Street Address 2 Of The Provider |
GLACIER ONCOLOGY (THIS IS MY CURRENT PRACTICE SITE:I AM |
City Of The Provider |
KALISPELL |
Zip Code Of The Provider |
59901 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
28241 |
Number Of Medicare Beneficiaries |
217 |
Total Submitted Charge Amount |
555049.28 |
Total Medicare Allowed Amount |
392422.84 |
Total Medicare Payment Amount |
298990.73 |
Total Medicare Standardized Payment Amount |
310097.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
26339 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
421807.61 |
Total Drug Medicare AllowedAmount |
302738.63 |
Total Drug Medicare PaymentAmount |
232331.57 |
Total Drug Medicare Standardized Payment Amount |
232331.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1902 |
Number Of Medicare Beneficiaries With Medical Services |
217 |
Total Medical Submitted Charge Amount |
133241.67 |
Total Medical Medicare Allowed Amount |
89684.21 |
Total Medical Medicare Payment Amount |
66659.16 |
Total Medical Medicare Standardized Payment Amount |
77766.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
86 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
71 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.8645 |