National Provider Identifier [NPI]: |
1922055037 |
Last Name Of The Provider |
BURZLAFF |
First Name Of The Provider |
THILO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8530 VILLAGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782175504 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
7820 |
Number Of Medicare Beneficiaries |
957 |
Total Submitted Charge Amount |
881271 |
Total Medicare Allowed Amount |
501685.85 |
Total Medicare Payment Amount |
366103.37 |
Total Medicare Standardized Payment Amount |
387657.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
863 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
13380 |
Total Drug Medicare AllowedAmount |
1610.94 |
Total Drug Medicare PaymentAmount |
1144.08 |
Total Drug Medicare Standardized Payment Amount |
1144.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
6957 |
Number Of Medicare Beneficiaries With Medical Services |
957 |
Total Medical Submitted Charge Amount |
867891 |
Total Medical Medicare Allowed Amount |
500074.91 |
Total Medical Medicare Payment Amount |
364959.29 |
Total Medical Medicare Standardized Payment Amount |
386513.11 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
551 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
793 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
917 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3225 |