National Provider Identifier [NPI]: |
1902081128 |
Last Name Of The Provider |
MURILLO |
First Name Of The Provider |
HORACIO |
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 |
3161 L ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165234 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
23826 |
Number Of Medicare Beneficiaries |
1484 |
Total Submitted Charge Amount |
815699 |
Total Medicare Allowed Amount |
173393.56 |
Total Medicare Payment Amount |
130170.81 |
Total Medicare Standardized Payment Amount |
124233.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
21890 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
31810 |
Total Drug Medicare AllowedAmount |
4459.42 |
Total Drug Medicare PaymentAmount |
3476.41 |
Total Drug Medicare Standardized Payment Amount |
3476.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
1936 |
Number Of Medicare Beneficiaries With Medical Services |
1484 |
Total Medical Submitted Charge Amount |
783889 |
Total Medical Medicare Allowed Amount |
168934.14 |
Total Medical Medicare Payment Amount |
126694.4 |
Total Medical Medicare Standardized Payment Amount |
120757.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
255 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
311 |
Number Of Female Beneficiaries |
796 |
Number Of Male Beneficiaries |
688 |
Number Of Non Hispanic White Beneficiaries |
1164 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
79 |
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1063 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
421 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7774 |