National Provider Identifier [NPI]: |
1568426153 |
Last Name Of The Provider |
MURILLO |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
425 HOLDERRIETH BLVD |
Street Address 2 Of The Provider |
STE 112 |
City Of The Provider |
TOMBALL |
Zip Code Of The Provider |
773754543 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5807 |
Number Of Medicare Beneficiaries |
661 |
Total Submitted Charge Amount |
394740.17 |
Total Medicare Allowed Amount |
279250.63 |
Total Medicare Payment Amount |
198012.02 |
Total Medicare Standardized Payment Amount |
199248.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1587 |
Number Of Medicare Beneficiaries With Drug Services |
345 |
Total Drug Submitted ChargeAmount |
42587 |
Total Drug Medicare AllowedAmount |
14594.02 |
Total Drug Medicare PaymentAmount |
12069.58 |
Total Drug Medicare Standardized Payment Amount |
12069.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4220 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
352153.17 |
Total Medical Medicare Allowed Amount |
264656.61 |
Total Medical Medicare Payment Amount |
185942.44 |
Total Medical Medicare Standardized Payment Amount |
187178.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
598 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0247 |