National Provider Identifier [NPI]: |
1922034388 |
Last Name Of The Provider |
MURTHY |
First Name Of The Provider |
SRINIVASA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9401 SW HIGHWAY 200 |
Street Address 2 Of The Provider |
SUITE 103, BLD. 100 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344819612 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
6058 |
Number Of Medicare Beneficiaries |
683 |
Total Submitted Charge Amount |
944882 |
Total Medicare Allowed Amount |
464853.18 |
Total Medicare Payment Amount |
343043.94 |
Total Medicare Standardized Payment Amount |
345172.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
4400 |
Total Drug Medicare AllowedAmount |
2306.72 |
Total Drug Medicare PaymentAmount |
2255.95 |
Total Drug Medicare Standardized Payment Amount |
2255.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
5861 |
Number Of Medicare Beneficiaries With Medical Services |
683 |
Total Medical Submitted Charge Amount |
940482 |
Total Medical Medicare Allowed Amount |
462546.46 |
Total Medical Medicare Payment Amount |
340787.99 |
Total Medical Medicare Standardized Payment Amount |
342916.28 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
605 |
Number Of Black or African American Beneficiaries |
62 |
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 |
566 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5654 |