National Provider Identifier [NPI]: |
1871576991 |
Last Name Of The Provider |
BURTON |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1755 48TH ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BOULDER |
Zip Code Of The Provider |
803012711 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
767 |
Number Of Medicare Beneficiaries |
196 |
Total Submitted Charge Amount |
53836 |
Total Medicare Allowed Amount |
35734.67 |
Total Medicare Payment Amount |
27315.36 |
Total Medicare Standardized Payment Amount |
27331.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
2109 |
Total Drug Medicare AllowedAmount |
1708.59 |
Total Drug Medicare PaymentAmount |
1632.64 |
Total Drug Medicare Standardized Payment Amount |
1632.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
702 |
Number Of Medicare Beneficiaries With Medical Services |
196 |
Total Medical Submitted Charge Amount |
51727 |
Total Medical Medicare Allowed Amount |
34026.08 |
Total Medical Medicare Payment Amount |
25682.72 |
Total Medical Medicare Standardized Payment Amount |
25698.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
63 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
170 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
10 |
Percent Of With Diabetes |
12 |
Percent Of With Hyperlipidemia |
27 |
Percent Of With Hypertension |
37 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8049 |