National Provider Identifier [NPI]: |
1891710851 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD, MBA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6705 S RED RD |
Street Address 2 Of The Provider |
SUITE 412 |
City Of The Provider |
SOUTH MIAMI |
Zip Code Of The Provider |
331433622 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
33770 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
1995187 |
Total Medicare Allowed Amount |
1102194.85 |
Total Medicare Payment Amount |
833074.84 |
Total Medicare Standardized Payment Amount |
775739.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
23609 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
207917.5 |
Total Drug Medicare AllowedAmount |
87792.15 |
Total Drug Medicare PaymentAmount |
68751.49 |
Total Drug Medicare Standardized Payment Amount |
68751.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
10161 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
1787269.5 |
Total Medical Medicare Allowed Amount |
1014402.7 |
Total Medical Medicare Payment Amount |
764323.35 |
Total Medical Medicare Standardized Payment Amount |
706988.38 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
688 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1578 |