National Provider Identifier [NPI]: |
1346245131 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
495 SW RAMSEY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANTS PASS |
Zip Code Of The Provider |
97527 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
4137 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
374462 |
Total Medicare Allowed Amount |
149452.63 |
Total Medicare Payment Amount |
111463.6 |
Total Medicare Standardized Payment Amount |
114772.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
289 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
7562 |
Total Drug Medicare AllowedAmount |
6489.3 |
Total Drug Medicare PaymentAmount |
6285.38 |
Total Drug Medicare Standardized Payment Amount |
6285.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
3848 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
366900 |
Total Medical Medicare Allowed Amount |
142963.33 |
Total Medical Medicare Payment Amount |
105178.22 |
Total Medical Medicare Standardized Payment Amount |
108486.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
305 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9123 |