National Provider Identifier [NPI]: |
1083605174 |
Last Name Of The Provider |
MURAKAMI |
First Name Of The Provider |
MARCIA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4500 SAN PABLO RD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322241865 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
25818 |
Number Of Medicare Beneficiaries |
2212 |
Total Submitted Charge Amount |
474542.28 |
Total Medicare Allowed Amount |
339010.19 |
Total Medicare Payment Amount |
254183.83 |
Total Medicare Standardized Payment Amount |
288667.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22785 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
5894.52 |
Total Drug Medicare AllowedAmount |
4002.82 |
Total Drug Medicare PaymentAmount |
2657.69 |
Total Drug Medicare Standardized Payment Amount |
2657.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3033 |
Number Of Medicare Beneficiaries With Medical Services |
2207 |
Total Medical Submitted Charge Amount |
468647.76 |
Total Medical Medicare Allowed Amount |
335007.37 |
Total Medical Medicare Payment Amount |
251526.14 |
Total Medical Medicare Standardized Payment Amount |
286009.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
328 |
Number Of Beneficiaries Age 65 to 74 |
958 |
Number Of Beneficiaries Age 75 to 84 |
674 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
1215 |
Number Of Male Beneficiaries |
997 |
Number Of Non Hispanic White Beneficiaries |
1920 |
Number Of Black or African American Beneficiaries |
167 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2053 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7553 |