National Provider Identifier [NPI]: |
1407814460 |
Last Name Of The Provider |
MCMURREN |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
130 E VIRGINIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GUNNISON |
Zip Code Of The Provider |
812302246 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
1370 |
Number Of Medicare Beneficiaries |
340 |
Total Submitted Charge Amount |
102664 |
Total Medicare Allowed Amount |
83756.55 |
Total Medicare Payment Amount |
57445.9 |
Total Medicare Standardized Payment Amount |
62300.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
2495 |
Total Drug Medicare AllowedAmount |
1888.95 |
Total Drug Medicare PaymentAmount |
1789.66 |
Total Drug Medicare Standardized Payment Amount |
1789.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
1283 |
Number Of Medicare Beneficiaries With Medical Services |
339 |
Total Medical Submitted Charge Amount |
100169 |
Total Medical Medicare Allowed Amount |
81867.6 |
Total Medical Medicare Payment Amount |
55656.24 |
Total Medical Medicare Standardized Payment Amount |
60510.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
326 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
5 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
16 |
Percent Of With Hypertension |
33 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8979 |