National Provider Identifier [NPI]: |
1871557082 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
MICHAEL |
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 |
9800 S HEALTH PARK DR |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339083630 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3660 |
Number Of Medicare Beneficiaries |
1151 |
Total Submitted Charge Amount |
1084111.5 |
Total Medicare Allowed Amount |
366261.79 |
Total Medicare Payment Amount |
276401.13 |
Total Medicare Standardized Payment Amount |
261831.42 |
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 |
79 |
Number Of Medical Services |
3660 |
Number Of Medicare Beneficiaries With Medical Services |
1151 |
Total Medical Submitted Charge Amount |
1084111.5 |
Total Medical Medicare Allowed Amount |
366261.79 |
Total Medical Medicare Payment Amount |
276401.13 |
Total Medical Medicare Standardized Payment Amount |
261831.42 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
476 |
Number Of Beneficiaries Age Greater 84 |
302 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
709 |
Number Of Non Hispanic White Beneficiaries |
1106 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1090 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
55 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5638 |