| National Provider Identifier [NPI]: | 1558454249 |
| Last Name Of The Provider | BURKETT |
| First Name Of The Provider | JOHN |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5129 DIXIE HWY |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | LOUISVILLE |
| Zip Code Of The Provider | 402161727 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 200 |
| Number Of Services | 6301 |
| Number Of Medicare Beneficiaries | 3418 |
| Total Submitted Charge Amount | 756245 |
| Total Medicare Allowed Amount | 181777.02 |
| Total Medicare Payment Amount | 136935.39 |
| Total Medicare Standardized Payment Amount | 144013.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 506 |
| Number Of Medicare Beneficiaries With Drug Services | 41 |
| Total Drug Submitted ChargeAmount | 1379 |
| Total Drug Medicare AllowedAmount | 270.71 |
| Total Drug Medicare PaymentAmount | 212.23 |
| Total Drug Medicare Standardized Payment Amount | 212.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 197 |
| Number Of Medical Services | 5795 |
| Number Of Medicare Beneficiaries With Medical Services | 3418 |
| Total Medical Submitted Charge Amount | 754866 |
| Total Medical Medicare Allowed Amount | 181506.31 |
| Total Medical Medicare Payment Amount | 136723.16 |
| Total Medical Medicare Standardized Payment Amount | 143801.76 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 931 |
| Number Of Beneficiaries Age 65 to 74 | 1097 |
| Number Of Beneficiaries Age 75 to 84 | 901 |
| Number Of Beneficiaries Age Greater 84 | 489 |
| Number Of Female Beneficiaries | 2110 |
| Number Of Male Beneficiaries | 1308 |
| Number Of Non Hispanic White Beneficiaries | 2920 |
| Number Of Black or African American Beneficiaries | 420 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2410 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1008 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.8851 |