National Provider Identifier [NPI]: |
1316219819 |
Last Name Of The Provider |
MURANAKA |
First Name Of The Provider |
AUSTIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
202 BROADWAY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
VINCENNES |
Zip Code Of The Provider |
475911228 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
3028 |
Number Of Medicare Beneficiaries |
675 |
Total Submitted Charge Amount |
557917 |
Total Medicare Allowed Amount |
230880.27 |
Total Medicare Payment Amount |
173707.83 |
Total Medicare Standardized Payment Amount |
181848.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
283 |
Total Drug Medicare AllowedAmount |
87.4 |
Total Drug Medicare PaymentAmount |
68.37 |
Total Drug Medicare Standardized Payment Amount |
68.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2978 |
Number Of Medicare Beneficiaries With Medical Services |
675 |
Total Medical Submitted Charge Amount |
557634 |
Total Medical Medicare Allowed Amount |
230792.87 |
Total Medical Medicare Payment Amount |
173639.46 |
Total Medical Medicare Standardized Payment Amount |
181780.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
386 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
657 |
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 |
502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7921 |