National Provider Identifier [NPI]: |
1104812577 |
Last Name Of The Provider |
MURO |
First Name Of The Provider |
GERARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
267 GRANT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRIDGEPORT |
Zip Code Of The Provider |
066102805 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
13708 |
Number Of Medicare Beneficiaries |
1783 |
Total Submitted Charge Amount |
1195506.7 |
Total Medicare Allowed Amount |
259493.26 |
Total Medicare Payment Amount |
200322.38 |
Total Medicare Standardized Payment Amount |
189681.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11050 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
7409.7 |
Total Drug Medicare AllowedAmount |
4947.91 |
Total Drug Medicare PaymentAmount |
3879.1 |
Total Drug Medicare Standardized Payment Amount |
3879.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
2658 |
Number Of Medicare Beneficiaries With Medical Services |
1783 |
Total Medical Submitted Charge Amount |
1188097 |
Total Medical Medicare Allowed Amount |
254545.35 |
Total Medical Medicare Payment Amount |
196443.28 |
Total Medical Medicare Standardized Payment Amount |
185802.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
338 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
522 |
Number Of Beneficiaries Age Greater 84 |
394 |
Number Of Female Beneficiaries |
1039 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
1276 |
Number Of Black or African American Beneficiaries |
221 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
230 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1086 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
697 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.8064 |