National Provider Identifier [NPI]: |
1891786968 |
Last Name Of The Provider |
MURDOCK |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2075 N 1200 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAYTON |
Zip Code Of The Provider |
840411616 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
1038 |
Number Of Medicare Beneficiaries |
488 |
Total Submitted Charge Amount |
84841 |
Total Medicare Allowed Amount |
55939.35 |
Total Medicare Payment Amount |
36051.48 |
Total Medicare Standardized Payment Amount |
38425.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
168 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2033 |
Total Drug Medicare AllowedAmount |
395.93 |
Total Drug Medicare PaymentAmount |
302.86 |
Total Drug Medicare Standardized Payment Amount |
302.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
870 |
Number Of Medicare Beneficiaries With Medical Services |
488 |
Total Medical Submitted Charge Amount |
82808 |
Total Medical Medicare Allowed Amount |
55543.42 |
Total Medical Medicare Payment Amount |
35748.62 |
Total Medical Medicare Standardized Payment Amount |
38122.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
447 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0544 |