National Provider Identifier [NPI]: |
1689664542 |
Last Name Of The Provider |
BURKE |
First Name Of The Provider |
GERRIANNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 PARK AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
QUAKERTOWN |
Zip Code Of The Provider |
189511573 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
1903 |
Number Of Medicare Beneficiaries |
767 |
Total Submitted Charge Amount |
186923.82 |
Total Medicare Allowed Amount |
151480.33 |
Total Medicare Payment Amount |
112778.29 |
Total Medicare Standardized Payment Amount |
101832.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
2977 |
Total Drug Medicare AllowedAmount |
1453.9 |
Total Drug Medicare PaymentAmount |
1423.98 |
Total Drug Medicare Standardized Payment Amount |
1423.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1842 |
Number Of Medicare Beneficiaries With Medical Services |
767 |
Total Medical Submitted Charge Amount |
183946.82 |
Total Medical Medicare Allowed Amount |
150026.43 |
Total Medical Medicare Payment Amount |
111354.31 |
Total Medical Medicare Standardized Payment Amount |
100408.35 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
727 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8719 |