National Provider Identifier [NPI]: |
1982656039 |
Last Name Of The Provider |
KRISHNAMURTHY |
First Name Of The Provider |
MURALI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MBBS, MSBE, MBA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4225 GOLDEN VALLEY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOLDEN VALLEY |
Zip Code Of The Provider |
554224215 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
12228 |
Number Of Medicare Beneficiaries |
93 |
Total Submitted Charge Amount |
449207.47 |
Total Medicare Allowed Amount |
141959.21 |
Total Medicare Payment Amount |
109217.44 |
Total Medicare Standardized Payment Amount |
109895.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
11360 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
127836 |
Total Drug Medicare AllowedAmount |
63829.15 |
Total Drug Medicare PaymentAmount |
49138.65 |
Total Drug Medicare Standardized Payment Amount |
49138.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
868 |
Number Of Medicare Beneficiaries With Medical Services |
93 |
Total Medical Submitted Charge Amount |
321371.47 |
Total Medical Medicare Allowed Amount |
78130.06 |
Total Medical Medicare Payment Amount |
60078.79 |
Total Medical Medicare Standardized Payment Amount |
60756.85 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
26 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
48 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
74 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
55 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.6559 |