National Provider Identifier [NPI]: |
1417996083 |
Last Name Of The Provider |
MURDY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3200 E RACINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JANESVILLE |
Zip Code Of The Provider |
535462343 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
5120 |
Number Of Medicare Beneficiaries |
581 |
Total Submitted Charge Amount |
559324.02 |
Total Medicare Allowed Amount |
150862.88 |
Total Medicare Payment Amount |
118560.31 |
Total Medicare Standardized Payment Amount |
123156.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
442 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
26594 |
Total Drug Medicare AllowedAmount |
13632.97 |
Total Drug Medicare PaymentAmount |
11911 |
Total Drug Medicare Standardized Payment Amount |
11911 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
4678 |
Number Of Medicare Beneficiaries With Medical Services |
581 |
Total Medical Submitted Charge Amount |
532730.02 |
Total Medical Medicare Allowed Amount |
137229.91 |
Total Medical Medicare Payment Amount |
106649.31 |
Total Medical Medicare Standardized Payment Amount |
111245.28 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
554 |
Number Of Black or African American Beneficiaries |
11 |
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 |
425 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.062 |