National Provider Identifier [NPI]: |
1437269206 |
Last Name Of The Provider |
REDD |
First Name Of The Provider |
BURTON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 S AKERS |
Street Address 2 Of The Provider |
220 |
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932778309 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
2382 |
Number Of Medicare Beneficiaries |
438 |
Total Submitted Charge Amount |
759713 |
Total Medicare Allowed Amount |
267716.15 |
Total Medicare Payment Amount |
202346.35 |
Total Medicare Standardized Payment Amount |
199837.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
526 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
62618 |
Total Drug Medicare AllowedAmount |
25868.61 |
Total Drug Medicare PaymentAmount |
20176.8 |
Total Drug Medicare Standardized Payment Amount |
20176.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
1856 |
Number Of Medicare Beneficiaries With Medical Services |
438 |
Total Medical Submitted Charge Amount |
697095 |
Total Medical Medicare Allowed Amount |
241847.54 |
Total Medical Medicare Payment Amount |
182169.55 |
Total Medical Medicare Standardized Payment Amount |
179660.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
258 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
330 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1218 |