National Provider Identifier [NPI]: |
1720026016 |
Last Name Of The Provider |
MULLER |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2722 MERRILEE DR |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220314400 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
7453 |
Number Of Medicare Beneficiaries |
1826 |
Total Submitted Charge Amount |
1984972.6 |
Total Medicare Allowed Amount |
324237.35 |
Total Medicare Payment Amount |
242731.93 |
Total Medicare Standardized Payment Amount |
211032.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4445 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
3113.6 |
Total Drug Medicare AllowedAmount |
1577.5 |
Total Drug Medicare PaymentAmount |
1066.46 |
Total Drug Medicare Standardized Payment Amount |
1066.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
3008 |
Number Of Medicare Beneficiaries With Medical Services |
1825 |
Total Medical Submitted Charge Amount |
1981859 |
Total Medical Medicare Allowed Amount |
322659.85 |
Total Medical Medicare Payment Amount |
241665.47 |
Total Medical Medicare Standardized Payment Amount |
209965.81 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
676 |
Number Of Beneficiaries Age 75 to 84 |
630 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
1071 |
Number Of Male Beneficiaries |
755 |
Number Of Non Hispanic White Beneficiaries |
1341 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
223 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1511 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.3796 |