National Provider Identifier [NPI]: |
1699702811 |
Last Name Of The Provider |
BURNS |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 1ST ST |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312018300 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
153475 |
Number Of Medicare Beneficiaries |
995 |
Total Submitted Charge Amount |
8771433 |
Total Medicare Allowed Amount |
3178160.31 |
Total Medicare Payment Amount |
2470403.24 |
Total Medicare Standardized Payment Amount |
2488218.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
82 |
Number Of Drug Services |
142032 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
7481621 |
Total Drug Medicare AllowedAmount |
2730492.44 |
Total Drug Medicare PaymentAmount |
2119321.22 |
Total Drug Medicare Standardized Payment Amount |
2119321.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
11443 |
Number Of Medicare Beneficiaries With Medical Services |
995 |
Total Medical Submitted Charge Amount |
1289812 |
Total Medical Medicare Allowed Amount |
447667.87 |
Total Medical Medicare Payment Amount |
351082.02 |
Total Medical Medicare Standardized Payment Amount |
368897.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
345 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
541 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
765 |
Number Of Black or African American Beneficiaries |
218 |
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 |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1396 |