National Provider Identifier [NPI]: |
1851593768 |
Last Name Of The Provider |
BURGER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3330 NW 56TH ST |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731124479 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
4863 |
Number Of Medicare Beneficiaries |
2781 |
Total Submitted Charge Amount |
120113.71 |
Total Medicare Allowed Amount |
114110.76 |
Total Medicare Payment Amount |
90323.28 |
Total Medicare Standardized Payment Amount |
95371.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
4863 |
Number Of Medicare Beneficiaries With Medical Services |
2781 |
Total Medical Submitted Charge Amount |
120113.71 |
Total Medical Medicare Allowed Amount |
114110.76 |
Total Medical Medicare Payment Amount |
90323.28 |
Total Medical Medicare Standardized Payment Amount |
95371.54 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
513 |
Number Of Beneficiaries Age 65 to 74 |
1171 |
Number Of Beneficiaries Age 75 to 84 |
765 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
1938 |
Number Of Male Beneficiaries |
843 |
Number Of Non Hispanic White Beneficiaries |
2299 |
Number Of Black or African American Beneficiaries |
249 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
105 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2191 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
590 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9075 |