National Provider Identifier [NPI]: |
1063490852 |
Last Name Of The Provider |
MURILLO |
First Name Of The Provider |
ABEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD., DABPM., FIPP. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 SW 27TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331451233 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
6684 |
Number Of Medicare Beneficiaries |
454 |
Total Submitted Charge Amount |
911427.72 |
Total Medicare Allowed Amount |
334279.52 |
Total Medicare Payment Amount |
259880.58 |
Total Medicare Standardized Payment Amount |
245311.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4454 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
35697.72 |
Total Drug Medicare AllowedAmount |
25652.94 |
Total Drug Medicare PaymentAmount |
20111.62 |
Total Drug Medicare Standardized Payment Amount |
20111.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2230 |
Number Of Medicare Beneficiaries With Medical Services |
454 |
Total Medical Submitted Charge Amount |
875730 |
Total Medical Medicare Allowed Amount |
308626.58 |
Total Medical Medicare Payment Amount |
239768.96 |
Total Medical Medicare Standardized Payment Amount |
225199.46 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
244 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
83 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
302 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
72 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
382 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.7057 |