National Provider Identifier [NPI]: |
1235198011 |
Last Name Of The Provider |
MURANAKA |
First Name Of The Provider |
EDWIN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1481 S KING ST |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968142601 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
16491 |
Number Of Medicare Beneficiaries |
1838 |
Total Submitted Charge Amount |
773527.85 |
Total Medicare Allowed Amount |
241596.49 |
Total Medicare Payment Amount |
181175.73 |
Total Medicare Standardized Payment Amount |
169597.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13721 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
9325.81 |
Total Drug Medicare AllowedAmount |
3159.01 |
Total Drug Medicare PaymentAmount |
2372.81 |
Total Drug Medicare Standardized Payment Amount |
2372.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
2770 |
Number Of Medicare Beneficiaries With Medical Services |
1838 |
Total Medical Submitted Charge Amount |
764202.04 |
Total Medical Medicare Allowed Amount |
238437.48 |
Total Medical Medicare Payment Amount |
178802.92 |
Total Medical Medicare Standardized Payment Amount |
167225.11 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
772 |
Number Of Beneficiaries Age 75 to 84 |
586 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
1145 |
Number Of Male Beneficiaries |
693 |
Number Of Non Hispanic White Beneficiaries |
251 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1250 |
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
225 |
Number Of Beneficiaries With Medicare Only Entitlement |
1483 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1008 |