National Provider Identifier [NPI]: |
1134125453 |
Last Name Of The Provider |
BURNEY |
First Name Of The Provider |
HAMID |
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 |
3600 MATLOCK RD |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
760153679 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5169 |
Number Of Medicare Beneficiaries |
631 |
Total Submitted Charge Amount |
443121.07 |
Total Medicare Allowed Amount |
315195.9 |
Total Medicare Payment Amount |
237129.68 |
Total Medicare Standardized Payment Amount |
248148.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
346 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
7785 |
Total Drug Medicare AllowedAmount |
3964.35 |
Total Drug Medicare PaymentAmount |
3843.49 |
Total Drug Medicare Standardized Payment Amount |
3843.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4823 |
Number Of Medicare Beneficiaries With Medical Services |
631 |
Total Medical Submitted Charge Amount |
435336.07 |
Total Medical Medicare Allowed Amount |
311231.55 |
Total Medical Medicare Payment Amount |
233286.19 |
Total Medical Medicare Standardized Payment Amount |
244305.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
442 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5189 |