National Provider Identifier [NPI]: |
1194864587 |
Last Name Of The Provider |
MURAD |
First Name Of The Provider |
LINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4155 BLADENSBURG ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLMAR MANOR |
Zip Code Of The Provider |
207221928 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
6595 |
Number Of Medicare Beneficiaries |
588 |
Total Submitted Charge Amount |
11128404 |
Total Medicare Allowed Amount |
2867757.21 |
Total Medicare Payment Amount |
2215270.2 |
Total Medicare Standardized Payment Amount |
1906693.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2929 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
53991 |
Total Drug Medicare AllowedAmount |
25358.47 |
Total Drug Medicare PaymentAmount |
19787.1 |
Total Drug Medicare Standardized Payment Amount |
19787.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3666 |
Number Of Medicare Beneficiaries With Medical Services |
588 |
Total Medical Submitted Charge Amount |
11074413 |
Total Medical Medicare Allowed Amount |
2842398.74 |
Total Medical Medicare Payment Amount |
2195483.1 |
Total Medical Medicare Standardized Payment Amount |
1886906.4 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
295 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
17 |
Number Of Black or African American Beneficiaries |
553 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
380 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
68 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
8.1928 |