National Provider Identifier [NPI]: |
1114940129 |
Last Name Of The Provider |
MULLER |
First Name Of The Provider |
ALLAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34 TAYLOR RD N |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
36116 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
6344 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
244445 |
Total Medicare Allowed Amount |
148237.96 |
Total Medicare Payment Amount |
104993.52 |
Total Medicare Standardized Payment Amount |
118797.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
2992 |
Number Of Medicare Beneficiaries With Drug Services |
494 |
Total Drug Submitted ChargeAmount |
33676 |
Total Drug Medicare AllowedAmount |
5439.25 |
Total Drug Medicare PaymentAmount |
3918.64 |
Total Drug Medicare Standardized Payment Amount |
3918.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
3352 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
210769 |
Total Medical Medicare Allowed Amount |
142798.71 |
Total Medical Medicare Payment Amount |
101074.88 |
Total Medical Medicare Standardized Payment Amount |
114878.65 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
406 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
704 |
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 |
869 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9281 |