National Provider Identifier [NPI]: |
1407144306 |
Last Name Of The Provider |
MURFF |
First Name Of The Provider |
ROSE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4545 FULLER DR |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750386530 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
972 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
109169.82 |
Total Medicare Allowed Amount |
81056.33 |
Total Medicare Payment Amount |
64747.49 |
Total Medicare Standardized Payment Amount |
75428.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
878.78 |
Total Drug Medicare AllowedAmount |
793.14 |
Total Drug Medicare PaymentAmount |
776.12 |
Total Drug Medicare Standardized Payment Amount |
776.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
915 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
108291.04 |
Total Medical Medicare Allowed Amount |
80263.19 |
Total Medical Medicare Payment Amount |
63971.37 |
Total Medical Medicare Standardized Payment Amount |
74651.96 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
48 |
Number Of Black or African American Beneficiaries |
210 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
71 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.3641 |