National Provider Identifier [NPI]: |
1548224322 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
LUKAS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6800 SCENIC DRIVE |
Street Address 2 Of The Provider |
#1550 |
City Of The Provider |
ROWLETT |
Zip Code Of The Provider |
75088 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
4218 |
Number Of Medicare Beneficiaries |
2516 |
Total Submitted Charge Amount |
546549.87 |
Total Medicare Allowed Amount |
132926.42 |
Total Medicare Payment Amount |
102167.13 |
Total Medicare Standardized Payment Amount |
107334.45 |
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 |
180 |
Number Of Medical Services |
4218 |
Number Of Medicare Beneficiaries With Medical Services |
2516 |
Total Medical Submitted Charge Amount |
546549.87 |
Total Medical Medicare Allowed Amount |
132926.42 |
Total Medical Medicare Payment Amount |
102167.13 |
Total Medical Medicare Standardized Payment Amount |
107334.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
407 |
Number Of Beneficiaries Age 65 to 74 |
1119 |
Number Of Beneficiaries Age 75 to 84 |
708 |
Number Of Beneficiaries Age Greater 84 |
282 |
Number Of Female Beneficiaries |
1728 |
Number Of Male Beneficiaries |
788 |
Number Of Non Hispanic White Beneficiaries |
2117 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
152 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
2016 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
500 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4424 |