National Provider Identifier [NPI]: |
1063761955 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
MAUREEN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
NP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7580 AUBURN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONCORD TWP |
Zip Code Of The Provider |
440779615 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
511 |
Number Of Medicare Beneficiaries |
304 |
Total Submitted Charge Amount |
62806 |
Total Medicare Allowed Amount |
31437.96 |
Total Medicare Payment Amount |
24158.21 |
Total Medicare Standardized Payment Amount |
30058.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
315 |
Total Drug Medicare AllowedAmount |
48.2 |
Total Drug Medicare PaymentAmount |
37.77 |
Total Drug Medicare Standardized Payment Amount |
37.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
495 |
Number Of Medicare Beneficiaries With Medical Services |
304 |
Total Medical Submitted Charge Amount |
62491 |
Total Medical Medicare Allowed Amount |
31389.76 |
Total Medical Medicare Payment Amount |
24120.44 |
Total Medical Medicare Standardized Payment Amount |
30020.77 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
289 |
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 |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5329 |