National Provider Identifier [NPI]: |
1427051051 |
Last Name Of The Provider |
MURRY |
First Name Of The Provider |
RUCKER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
602 TITUS ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GILMER |
Zip Code Of The Provider |
756441700 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
164 |
Number Of Services |
10579 |
Number Of Medicare Beneficiaries |
614 |
Total Submitted Charge Amount |
889970 |
Total Medicare Allowed Amount |
384991.27 |
Total Medicare Payment Amount |
297594.59 |
Total Medicare Standardized Payment Amount |
311854.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
441 |
Number Of Medicare Beneficiaries With Drug Services |
251 |
Total Drug Submitted ChargeAmount |
25521 |
Total Drug Medicare AllowedAmount |
12968.41 |
Total Drug Medicare PaymentAmount |
12413.67 |
Total Drug Medicare Standardized Payment Amount |
12413.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
10138 |
Number Of Medicare Beneficiaries With Medical Services |
614 |
Total Medical Submitted Charge Amount |
864449 |
Total Medical Medicare Allowed Amount |
372022.86 |
Total Medical Medicare Payment Amount |
285180.92 |
Total Medical Medicare Standardized Payment Amount |
299440.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
569 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2246 |