Brian Murphy M.D.

Gender: M
Medical School: Wayne State University School Of Medicine
Graduation Year: 1986
Primary Specialty: Hematology/oncology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted130
Total Provider Services163385
Total Medicare beneficiaries receiving the provider services1551
The total charges that the provider submitted for all services$16,811,812.27
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$3,203,509.15
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$2,521,773.44
Total Medicare Standardized Payment Amount$2,553,264.13
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File70
Total drug services, as defined from the Medicare Part B Drug ASP File148025
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.261
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$13,609,256.02
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$2,611,865.71
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$2,045,195.56
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$2,045,987.10
Total number of HCPCS codes associated with medical (non-ASP) services60
Total medical (non-ASP) services15360
Total Medicare beneficiaries receiving medical (non-ASP) services1551
The total charges that the provider submitted for medical services (non-ASP)$3,202,556.25
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$591,643.44
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$476,577.88
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$507,277.03
Average age of beneficiaries73
Number of beneficiaries under the age of 65145
Number of beneficiaries between the ages of 65 and 74713
Number of beneficiaries between the ages of 75 and 84545
Number of beneficiaries over the age of 84148
Number of Female beneficiaries816
Number of Male Beneficiaries735
Number of Non-Hispanic White Beneficiaries1421
Number of Black or African American Beneficiaries57
Number of Beneficiaries With Race Not Elsewhere Classified40
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year1382
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits169
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma6%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension70%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders2%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.8048

Source: data.cms.gov

Brian Murphy M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Insertion of needle into vein for collection of blood sample 2465 861 2464 $3.0 $34.0 $2.93 1159%
Blood test, basic group of blood chemicals 2419 514 2419 $10.01 $190.0 $9.8 1938%
Blood test, basic group of blood chemicals 59 36 59 $9.35 $115.0 $9.16 1255%
Liver function blood test panel 144 43 144 $5.88 $121.0 $5.77 2099%
Urinalysis, manual test 14 13 14 $3.23 $24.0 $3.17 757%
Magnesium level 65 40 65 $7.92 $58.0 $7.76 747%
Complete blood cell count (red cells, white blood cell, platelets), automated test 2179 714 2175 $10.65 $78.0 $10.39 751%
Complete blood cell count (red cells, white blood cell, platelets), automated test 2308 586 2306 $8.87 $61.0 $8.68 703%
Vaccine for influenza for injection into muscle 19 19 19 $49.03 $75.0 $48.05 156%
Hydration infusion into a vein 31 minutes to 1 hour 33 22 33 $54.29 $383.0 $41.27 928%
Hydration infusion into a vein 81 36 64 $14.46 $369.0 $10.95 3370%
Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour 75 37 75 $64.98 $442.0 $49.72 889%
Infusion into a vein for therapy, prevention, or diagnosis 36 17 28 $18.02 $392.0 $14.09 2782%
Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour 67 20 65 $29.28 $406.0 $22.95 1769%
Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion 39 12 39 $19.64 $396.0 $15.4 2571%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 282 94 279 $24.25 $162.0 $18.81 861%
Injection of drug or substance into a vein for therapy, diagnosis, or prevention 73 42 73 $54.02 $266.0 $40.62 655%
Injection of different drug or substance into a vein for therapy, diagnosis, or prevention 999 100 467 $21.08 $240.0 $16.51 1454%
Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle 107 20 107 $69.95 $574.0 $54.84 1047%
Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle 44 17 44 $30.93 $534.0 $24.25 2202%
Infusion of chemotherapy into a vein using push technique 80 21 80 $104.03 $572.0 $81.56 701%
Infusion of different chemotherapy drug or substance into a vein 58 16 57 $58.69 $557.0 $46.01 1211%
Infusion of chemotherapy into a vein up to 1 hour 586 115 586 $128.68 $674.0 $100.56 670%
Infusion of chemotherapy into a vein 178 44 113 $26.97 $588.0 $20.82 2825%
Infusion of different chemotherapy drug or substance into a vein up to 1 hour 111 29 108 $61.35 $593.0 $48.1 1233%
Source: 2017 Provider CMS Charge Data