National Provider Identifier [NPI]: |
1174539159 |
Last Name Of The Provider |
MUIR |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6799 GREAT OAKS RD |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381382588 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
47223 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
1641567 |
Total Medicare Allowed Amount |
775106.33 |
Total Medicare Payment Amount |
601319.66 |
Total Medicare Standardized Payment Amount |
592740.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
37 |
Number Of Drug Services |
34470 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
677053 |
Total Drug Medicare AllowedAmount |
356839.43 |
Total Drug Medicare PaymentAmount |
278029.99 |
Total Drug Medicare Standardized Payment Amount |
278029.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
12753 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
964514 |
Total Medical Medicare Allowed Amount |
418266.9 |
Total Medical Medicare Payment Amount |
323289.67 |
Total Medical Medicare Standardized Payment Amount |
314710.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
452 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
681 |
Number Of Black or African American Beneficiaries |
140 |
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 |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9006 |