National Provider Identifier [NPI]: |
1285717173 |
Last Name Of The Provider |
MURRAY |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1829 BUSTLETON PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FEASTERVILLE TREVOSE |
Zip Code Of The Provider |
190537309 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
1723 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
407724 |
Total Medicare Allowed Amount |
218414.27 |
Total Medicare Payment Amount |
165710.79 |
Total Medicare Standardized Payment Amount |
185822.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
3411 |
Total Drug Medicare AllowedAmount |
1507.28 |
Total Drug Medicare PaymentAmount |
1473.88 |
Total Drug Medicare Standardized Payment Amount |
1473.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
1620 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
404313 |
Total Medical Medicare Allowed Amount |
216906.99 |
Total Medical Medicare Payment Amount |
164236.91 |
Total Medical Medicare Standardized Payment Amount |
184348.85 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
177 |
Number Of Black or African American Beneficiaries |
166 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
30 |
Average HCC Risk Score Of Beneficiaries |
2.7091 |