National Provider Identifier [NPI]: |
1093780033 |
Last Name Of The Provider |
SOR |
First Name Of The Provider |
MURAT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 N GEORGE MASON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
22205 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
102030 |
Number Of Medicare Beneficiaries |
665 |
Total Submitted Charge Amount |
12048601 |
Total Medicare Allowed Amount |
4030919.43 |
Total Medicare Payment Amount |
3132899.75 |
Total Medicare Standardized Payment Amount |
2680605 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
97015 |
Number Of Medicare Beneficiaries With Drug Services |
438 |
Total Drug Submitted ChargeAmount |
139826 |
Total Drug Medicare AllowedAmount |
43806.13 |
Total Drug Medicare PaymentAmount |
34277.47 |
Total Drug Medicare Standardized Payment Amount |
34277.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
5015 |
Number Of Medicare Beneficiaries With Medical Services |
665 |
Total Medical Submitted Charge Amount |
11908775 |
Total Medical Medicare Allowed Amount |
3987113.3 |
Total Medical Medicare Payment Amount |
3098622.28 |
Total Medical Medicare Standardized Payment Amount |
2646327.53 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
246 |
Number Of AsianPacific Islander Beneficiaries |
43 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
437 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
70 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
5.3431 |