National Provider Identifier [NPI]: |
1841209277 |
Last Name Of The Provider |
MULROY |
First Name Of The Provider |
JANET |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
ACNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1068 CRESTHAVEN RD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381190800 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
42184 |
Number Of Medicare Beneficiaries |
324 |
Total Submitted Charge Amount |
196219 |
Total Medicare Allowed Amount |
67201.11 |
Total Medicare Payment Amount |
51787.89 |
Total Medicare Standardized Payment Amount |
59484.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
41503 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
95854 |
Total Drug Medicare AllowedAmount |
33129.72 |
Total Drug Medicare PaymentAmount |
25861.21 |
Total Drug Medicare Standardized Payment Amount |
25861.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
681 |
Number Of Medicare Beneficiaries With Medical Services |
324 |
Total Medical Submitted Charge Amount |
100365 |
Total Medical Medicare Allowed Amount |
34071.39 |
Total Medical Medicare Payment Amount |
25926.68 |
Total Medical Medicare Standardized Payment Amount |
33623.22 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
242 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.8127 |