National Provider Identifier [NPI]: |
1801808654 |
Last Name Of The Provider |
BURKHARDT |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 HERITAGE OAK LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490154250 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
4447 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
1503867 |
Total Medicare Allowed Amount |
561903.38 |
Total Medicare Payment Amount |
425943.64 |
Total Medicare Standardized Payment Amount |
443207.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1723 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
41417 |
Total Drug Medicare AllowedAmount |
20673.41 |
Total Drug Medicare PaymentAmount |
15395.28 |
Total Drug Medicare Standardized Payment Amount |
15395.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
160 |
Number Of Medical Services |
2724 |
Number Of Medicare Beneficiaries With Medical Services |
739 |
Total Medical Submitted Charge Amount |
1462450 |
Total Medical Medicare Allowed Amount |
541229.97 |
Total Medical Medicare Payment Amount |
410548.36 |
Total Medical Medicare Standardized Payment Amount |
427812.2 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
663 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2179 |