National Provider Identifier [NPI]: |
1235389016 |
Last Name Of The Provider |
MURPHY |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
281 SAWYER DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DURANGO |
Zip Code Of The Provider |
813033409 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Licensed Clinical Social Worker |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
334 |
Number Of Medicare Beneficiaries |
48 |
Total Submitted Charge Amount |
41258 |
Total Medicare Allowed Amount |
13284.4 |
Total Medicare Payment Amount |
9454.02 |
Total Medicare Standardized Payment Amount |
9448.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
6 |
Number Of Medical Services |
334 |
Number Of Medicare Beneficiaries With Medical Services |
48 |
Total Medical Submitted Charge Amount |
41258 |
Total Medical Medicare Allowed Amount |
13284.4 |
Total Medical Medicare Payment Amount |
9454.02 |
Total Medical Medicare Standardized Payment Amount |
9448.57 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
34 |
Number Of Male Beneficiaries |
14 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
15 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
0 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
71 |
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
23 |
Percent Of With Hypertension |
|
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
35 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1007 |