National Provider Identifier [NPI]: |
1326132093 |
Last Name Of The Provider |
MURTHI |
First Name Of The Provider |
NAGAPRASAD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
43740 N GROESBECK HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON TOWNSHIP |
Zip Code Of The Provider |
480361139 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
1930 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
136286.93 |
Total Medicare Allowed Amount |
73421.94 |
Total Medicare Payment Amount |
53371.26 |
Total Medicare Standardized Payment Amount |
51864.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1013 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
7926.16 |
Total Drug Medicare AllowedAmount |
7610.85 |
Total Drug Medicare PaymentAmount |
5778.02 |
Total Drug Medicare Standardized Payment Amount |
5778.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
917 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
128360.77 |
Total Medical Medicare Allowed Amount |
65811.09 |
Total Medical Medicare Payment Amount |
47593.24 |
Total Medical Medicare Standardized Payment Amount |
46086.26 |
Average Age Of Beneficiaries |
48 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
76 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
169 |
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 |
20 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
37 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
58 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2503 |