National Provider Identifier [NPI]: |
1205809241 |
Last Name Of The Provider |
MURILLO |
First Name Of The Provider |
OSCAR |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD, FACP, AGSF |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 FAME AVE |
Street Address 2 Of The Provider |
SUITE 205B |
City Of The Provider |
HANOVER |
Zip Code Of The Provider |
173311576 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
6108 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
594942 |
Total Medicare Allowed Amount |
375263.18 |
Total Medicare Payment Amount |
280712.59 |
Total Medicare Standardized Payment Amount |
280988.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
421 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
12667 |
Total Drug Medicare AllowedAmount |
9774.22 |
Total Drug Medicare PaymentAmount |
9438.67 |
Total Drug Medicare Standardized Payment Amount |
9438.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5687 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
582275 |
Total Medical Medicare Allowed Amount |
365488.96 |
Total Medical Medicare Payment Amount |
271273.92 |
Total Medical Medicare Standardized Payment Amount |
271549.81 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
319 |
Number Of Female Beneficiaries |
449 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
697 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
653 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3624 |