National Provider Identifier [NPI]: |
1083728646 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4901 MAIN ST |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641122646 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Clinical Psychologist |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
4 |
Number Of Services |
2128 |
Number Of Medicare Beneficiaries |
1005 |
Total Submitted Charge Amount |
228505 |
Total Medicare Allowed Amount |
197094 |
Total Medicare Payment Amount |
151129.79 |
Total Medicare Standardized Payment Amount |
154905.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
4 |
Number Of Medical Services |
2128 |
Number Of Medicare Beneficiaries With Medical Services |
1005 |
Total Medical Submitted Charge Amount |
228505 |
Total Medical Medicare Allowed Amount |
197094 |
Total Medical Medicare Payment Amount |
151129.79 |
Total Medical Medicare Standardized Payment Amount |
154905.78 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
889 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
690 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
55 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.2781 |