National Provider Identifier [NPI]: |
1942200910 |
Last Name Of The Provider |
MURDOCK |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 WIND RIDGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAUSAU |
Zip Code Of The Provider |
544014173 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5013 |
Number Of Medicare Beneficiaries |
2031 |
Total Submitted Charge Amount |
1760970 |
Total Medicare Allowed Amount |
284585.98 |
Total Medicare Payment Amount |
211176.1 |
Total Medicare Standardized Payment Amount |
219232.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
2736 |
Total Drug Medicare AllowedAmount |
1163.92 |
Total Drug Medicare PaymentAmount |
912.55 |
Total Drug Medicare Standardized Payment Amount |
912.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
4981 |
Number Of Medicare Beneficiaries With Medical Services |
2031 |
Total Medical Submitted Charge Amount |
1758234 |
Total Medical Medicare Allowed Amount |
283422.06 |
Total Medical Medicare Payment Amount |
210263.55 |
Total Medical Medicare Standardized Payment Amount |
218320.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
713 |
Number Of Beneficiaries Age 75 to 84 |
693 |
Number Of Beneficiaries Age Greater 84 |
425 |
Number Of Female Beneficiaries |
948 |
Number Of Male Beneficiaries |
1083 |
Number Of Non Hispanic White Beneficiaries |
1957 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
392 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4665 |