National Provider Identifier [NPI]: |
1043274590 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1436 RAVENWOOD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481032657 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
6880 |
Number Of Medicare Beneficiaries |
4211 |
Total Submitted Charge Amount |
778838.65 |
Total Medicare Allowed Amount |
223514.06 |
Total Medicare Payment Amount |
167998.72 |
Total Medicare Standardized Payment Amount |
166221.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1074 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
4998 |
Total Drug Medicare AllowedAmount |
471.69 |
Total Drug Medicare PaymentAmount |
369.8 |
Total Drug Medicare Standardized Payment Amount |
369.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
5806 |
Number Of Medicare Beneficiaries With Medical Services |
4211 |
Total Medical Submitted Charge Amount |
773840.65 |
Total Medical Medicare Allowed Amount |
223042.37 |
Total Medical Medicare Payment Amount |
167628.92 |
Total Medical Medicare Standardized Payment Amount |
165851.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
864 |
Number Of Beneficiaries Age 65 to 74 |
1408 |
Number Of Beneficiaries Age 75 to 84 |
1190 |
Number Of Beneficiaries Age Greater 84 |
749 |
Number Of Female Beneficiaries |
2417 |
Number Of Male Beneficiaries |
1794 |
Number Of Non Hispanic White Beneficiaries |
3689 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
94 |
Number Of Hispanic Beneficiaries |
285 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
72 |
Number Of Beneficiaries With Medicare Only Entitlement |
2749 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1462 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7519 |