National Provider Identifier [NPI]: |
1992892731 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
912 32ND ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
ANACORTES |
Zip Code Of The Provider |
982213473 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
4560 |
Number Of Medicare Beneficiaries |
1036 |
Total Submitted Charge Amount |
475207 |
Total Medicare Allowed Amount |
275044.61 |
Total Medicare Payment Amount |
204602.8 |
Total Medicare Standardized Payment Amount |
205717.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
275 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
4767 |
Total Drug Medicare AllowedAmount |
4205.6 |
Total Drug Medicare PaymentAmount |
4094.38 |
Total Drug Medicare Standardized Payment Amount |
4094.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4285 |
Number Of Medicare Beneficiaries With Medical Services |
1036 |
Total Medical Submitted Charge Amount |
470440 |
Total Medical Medicare Allowed Amount |
270839.01 |
Total Medical Medicare Payment Amount |
200508.42 |
Total Medical Medicare Standardized Payment Amount |
201623.25 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
510 |
Number Of Male Beneficiaries |
526 |
Number Of Non Hispanic White Beneficiaries |
979 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
928 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2774 |