National Provider Identifier [NPI]: |
1184818551 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
SUNSHINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10901 E. 48TH STREET S. |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741465830 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
12128 |
Number Of Medicare Beneficiaries |
1103 |
Total Submitted Charge Amount |
1243240.65 |
Total Medicare Allowed Amount |
372038.93 |
Total Medicare Payment Amount |
282685.38 |
Total Medicare Standardized Payment Amount |
308218.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
5920 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
14969.65 |
Total Drug Medicare AllowedAmount |
1899.24 |
Total Drug Medicare PaymentAmount |
1391.76 |
Total Drug Medicare Standardized Payment Amount |
1391.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
6208 |
Number Of Medicare Beneficiaries With Medical Services |
1103 |
Total Medical Submitted Charge Amount |
1228271 |
Total Medical Medicare Allowed Amount |
370139.69 |
Total Medical Medicare Payment Amount |
281293.62 |
Total Medical Medicare Standardized Payment Amount |
306827.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
449 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
796 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
969 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
76 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
926 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1657 |